Active NPIOrganization

Larisa Gershman Medical Center PC

Internal Medicine in Pompton Lakes, New Jersey

NPI Number1174715817
Practice location
191 Hamburg Tpke Ste 2B, Pompton Lakes, NJ 07442-2332
Fax
973-248-9445
Last updated
October 24, 2007

Larisa Gershman Medical Center PC is a healthcare organization based in Pompton Lakes, NJ. Larisa Gershman Medical Center PC practices in Pompton Lakes, NJ. The NPI Number for Larisa Gershman Medical Center PC is 1174715817 and holds a License No. 25MA07011700 (NJ). The current practice location address for Larisa Gershman Medical Center PC is 191 Hamburg Tpke Ste 2B, Pompton Lakes, NJ 07442-2332 and can be reached out via phone at 973-248-9446 and via fax at 973-248-9445.

Provider Profile Details

NPI Number
1174715817
Provider Name
Larisa Gershman Medical Center PC
Provider Entity Type
Organization
Address
191 Hamburg Tpke Ste 2B, Pompton Lakes, NJ 07442-2332
Phone Number
973-248-9446
Fax Number
973-248-9445
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Larisa K Gershman, MD · President · 973-248-9446
Provider Enumeration Date
August 16, 2007
Last Update Date
October 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
191 Hamburg Tpke Ste 2B
Pompton Lakes, NJ 07442-2332
Zip
07442-2332
Phone Number
973-248-9446
Fax Number
973-248-9445
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
191 Hamburg Tpke Ste 2B
Pompton Lakes, NJ 07442-2332
City
Pompton Lakes
State
NJ
Zip
07442-2332
Phone Number
973-248-9446
Fax Number
973-248-9445

License Information

License Number
25MA07011700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Larisa Gershman Medical Center PC?

The NPI number of Larisa Gershman Medical Center PC is 1174715817. It was assigned on August 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Larisa Gershman Medical Center PC?

Larisa Gershman Medical Center PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07011700.

Where does Larisa Gershman Medical Center PC practice?

The practice location is 191 Hamburg Tpke Ste 2B, Pompton Lakes, NJ 07442-2332. The office can be reached at 973-248-9446 (phone) or 973-248-9445 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174715817 directly on the NPPES registry website.

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