Avigdor Medical Health LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03168200 Issued in NJ

Legal business name

AVIGDOR MEDICAL HEALTH LLC

Practice address

6 Sycamore LN
Rumson, NJ 07760-1035

Phone

(631) 805-6384

Fax

(631) 849-5824

NPI assigned

Feb 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sevi Avigdor, M.D.

Title

Ceo/Owner

Phone

(732) 759-1730

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Roy, R.N.

  • Registered Nurse
  • Shoreham, NY
  • NPI 1003260506
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1841739331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COBBLESTONE DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862311",
            "telephone_number": "631-805-6384",
            "fax_number": "631-849-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SYCAMORE LN",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601035",
            "telephone_number": "631-805-6384",
            "fax_number": "631-849-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIGDOR MEDICAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "AVIGDOR",
        "authorized_official_first_name": "SEVI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "732-759-1730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03168200",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "130475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Katherine Allen, NP/CNS
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• Loriann Bauman, RPH
• Beach Counseling and Coaching LLC
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• Andrea Cernero, LPC
• Coastal Acupuncture & Oriental Medicine LLC

• All providers in Rumson, NJ
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.