Advanced Surgical Solutions, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07576600 Issued in NJ

Legal business name

ADVANCED SURGICAL SOLUTIONS, LLC

Practice address

61 Beaverbrook Rd
Suite 101
Lincoln Park, NJ 07035-1748

Phone

(973) 696-9050

Fax

(973) 696-9055

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vadim Gritsus, M.D.NPI 1336170182

Title

President

Phone

(973) 696-9050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vadim Gritsus, M.D.

  • Specialist
  • Pequannock, NJ
  • NPI 1336170182
  Authorized official Same address or phone

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1962699835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEAVERBROOK RD",
            "address_2": "SUITE 101",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351748",
            "telephone_number": "973-696-9050",
            "fax_number": "973-696-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEAVERBROOK RD",
            "address_2": "SUITE 101",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351748",
            "telephone_number": "973-696-9050",
            "fax_number": "973-696-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "GRITSUS",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-696-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07576600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.