ADVANCED LAPAROSCOPY LLC (NPI# 1790910917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790910917 |
| Entity Type | Organization |
| Organization Name | ADVANCED LAPAROSCOPY LLC |
| Practice Address |
61 N Maple Ave Ridgewood NJ 07450-3255 |
| Mailing Address |
Po Box 4737 Wayne NJ 07474-4737 |
| Practice Telephone | 2014457070 |
| Mailing Telephone | 9738268291 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | KHASHAYAR VOSOUGH (OWNER) |
| Authorized Official Telephone | 9738268291 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA06580400 | NJ | Other Service Providers |
| Street Address |
61 N MAPLE AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845540 | Edward A Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2005-07-19 |
| 1548714017 | Megan Torchia | Nurse Practitioner | 61 N Maple Ave, Suite 305, Ridgewood, NJ 07450-3255 | 2016-08-12 |
| 1598218158 | Nicole Waterhouse | Nurse Practitioner | 61 N Maple Ave, Suite 305, Ridgewood, NJ 07450-3255 | 2016-08-01 |
| 1588061220 | Nicole Liloia, Lcsw, LLC | Social Worker | 61 N Maple Ave, Suite 303a, Ridgewood, NJ 07450-3255 | 2014-11-24 |
| 1649510389 | Elizabeth Marie Mullin | Social Worker | 61 N Maple Ave, Ridgewood, NJ 07450-3255 | 2013-02-17 |
| 1578809448 | Marvin Leibowitz Ph.d. LLC | Psychologist | 61 N Maple Ave, Suite 103, Ridgewood, NJ 07450-3255 | 2012-12-21 |
| 1699051292 | Patrick Thomas O'hara | Social Worker | 61 N Maple Ave, Suite 202, Ridgewood, NJ 07450-3255 | 2011-10-26 |
| 1508142498 | Balance and Thrive, LLC | Social Worker | 61 N Maple Ave, (202), Ridgewood, NJ 07450-3255 | 2011-10-24 |
| 1417231721 | Carolyn Reager Settlow | Social Worker | 61 N Maple Ave, Ridgewood, NJ 07450-3255 | 2011-10-05 |
| 1104113240 | Erika Danee Turner | Social Worker | 61 N Maple Ave, Suite 204e, Ridgewood, NJ 07450-3255 | 2011-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692096 | Deidre Ippolito | Specialist | 1864 Putnam Ave Apt 1r, Ridgewood, NY 11385-4314 | 2019-07-30 |
| 1497222079 | Karen Villacres | Specialist | 506 Grandview Ave Apt 2r, Ridgewood, NY 11385-1996 | 2018-10-31 |
| 1144713306 | Lilibeth Acosta | Specialist | 1627 Cornelia St, Ridgewood, NY 11385-4711 | 2018-06-12 |
| 1578065249 | Msan Medical Care PC | Specialist | 6861 Fresh Pond Rd, Ridgewood, NY 11385-5263 | 2018-03-08 |
| 1851807168 | Ailee Wiscovitch | Specialist | 1820 Cornelia St, Ridgewood, NY 11385-4900 | 2017-12-21 |
| 1386167005 | Kristen Naletilic | Specialist | 1835 Summerfield Street, Ridgewood, NY 11385 | 2017-07-25 |
| 1235672296 | American Healthcare Partners | Specialist | 38 E Ridgewood Ave # 200, Ridgewood, NJ 07450-3808 | 2016-11-23 |
| 1841743887 | Learning Steps Inc. | Specialist | 58-25 69 Ave, Ridgewood, NY 11385 | 2016-07-26 |
| 1639538598 | Yllka Tupi | Specialist | 2055 Gates Ave Apt 2l, Ridgewood, NY 11385-3030 | 2016-02-19 |
| 1609257732 | Robert Foerster | Specialist | 6135 Madison St, Apt 3l, Ridgewood, NY 11385-4038 | 2015-06-15 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.