NPIMap

Organization Active NPI

Laparoscopic Edge, PC

  • Surgery Physician
  • Union, NJ
National Provider Identifier
1992024095
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LAPAROSCOPIC EDGE, PC
Practice address
700 Rahway Ave
Union, NJ 07083-6634
Phone
(908) 481-1270
Fax
(908) 688-8861
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Ajay Goyal, MDNPI 1922196815
Title
President
Phone
(917) 541-0605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

700 Rahway Ave
Union, NJ 07083-6634

Mailing address

PO Box 648
Hoboken, NJ 07030-0648
Phone (908) 481-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110204000462 NJ Part B Supplier - Clinic/Group Practice 1052591245 Receives reassigned benefits from 8 practitioners
Practice locations: Somerville, NJ; Springfield, NJ; Hoboken, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1992024095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070300648",
            "telephone_number": "908-481-1270",
            "fax_number": "908-688-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-481-1270",
            "fax_number": "908-688-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPAROSCOPIC EDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-541-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.