LARISA GERSHMAN MEDICAL CENTER PC
NPI 1174715817
Internal Medicine in Pompton Lakes, NJ

Q: What is Larisa Gershman Medical Center PC's NPI number?

The NPI number for Larisa Gershman Medical Center PC is 1174715817. It was assigned to this organization in the NPPES registry on August 16, 2007.

Q: What is Larisa Gershman Medical Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 16, 2007

191 HAMBURG TPKE STE 2B, POMPTON LAKES, NJ 07442(973) 248-9446(973) 248-9445 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Larisa Gershman Medical Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISA GERSHMAN MEDICAL CENTER PC (NPI 1174715817) is a healthcare organization registered as an internal medicine in Pompton Lakes, New Jersey and active in the NPI registry since August 2007. The organization lists Larisa K Gershman, President, as its authorized official.

NPPES Registry Identity

NPI1174715817

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLARISA GERSHMAN MEDICAL CENTER PC

Location Address191 HAMBURG TPKE STE 2BPompton Lakes, NJ 07442-2332

Mailing Address191 Hamburg Tpke Ste 2bPompton Lakes, NJ 07442-2332 · (973) 248-9446 · Fax (973) 248-9445

Phone(973) 248-9446

Fax(973) 248-9445

Organization SubpartNo

Authorized OfficialLarisa K GershmanPresident · (973) 248-9446

Enumeration DateAugust 16, 2007

Last NPPES UpdateOctober 24, 2007

✔ NPI 1174715817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA07011700

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

191 HAMBURG TPKE STE 2B, Pompton Lakes, NJ 07442

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Other Identifiers 1

Medicare UPINH02020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larisa Gershman Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20050708000281Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larisa Gershman Medical Center PC's NPI number?

The NPI number for Larisa Gershman Medical Center PC is 1174715817. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is Larisa Gershman Medical Center PC located?

Larisa Gershman Medical Center PC is located at 191 Hamburg Tpke Ste 2B, Pompton Lakes, NJ 07442. The listed phone number is (973) 248-9446.

What is Larisa Gershman Medical Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Larisa Gershman Medical Center PC enrolled in Medicare?

Yes. Larisa Gershman Medical Center PC is registered in the Medicare PECOS enrollment system.

When is Larisa Gershman Medical Center PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Larisa Gershman Medical Center PC was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.