Minimally Invasive Surgical Assoc. of NJ LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA08100700 Issued in NJ

Legal business name

MINIMALLY INVASIVE SURGICAL ASSOC. OF NJ LLC

Practice address

3100 Quakerbridge Rd
Hamilton, NJ 08619-1658

Phone

(347) 426-6146

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Yelizaveta Dobruskin, M.D.

Title

Owner

Phone

(347) 426-6146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1982834461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SHINNECOCK DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269511",
            "telephone_number": "347-426-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191658",
            "telephone_number": "347-426-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGICAL ASSOC. OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "DOBRUSKIN",
        "authorized_official_first_name": "YELIZAVETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-426-6146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08100700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Miller Jr., P.T.
• Kimberly Ann Miller, PA-C
• Lateisha N Miller
• Scott D Miller, MD
• Mind Your Mind
• Nighat Mirza, MD
• Neerja Misra, MD
• Ashley Mitchell
• Ernest Mitchell III, M.DIV., ED.S
• Christina Mobarek

• Surgery Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.