# LARISA GERSHMAN MEDICAL CENTER PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174715817
- **Authorized official:** LARISA K GERSHMAN MD (PRESIDENT)
- **Authorized official phone:** (973) 248-9446

## Contact information

- **Practice address:** 191 HAMBURG TPKE STE 2B, POMPTON LAKES, NJ 07442-2332
- **Practice address phone:** (973) 248-9446
- **Practice address fax:** (973) 248-9445
- **Mailing address:** 191 HAMBURG TPKE STE 2B, POMPTON LAKES, NJ 07442-2332
- **Mailing address phone:** (973) 248-9446
- **Mailing address fax:** (973) 248-9445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07011700 | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 10/24/2007