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ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NEW JERSEY PA NPI 1417999772


NPI Information

NPI: 1417999772
Provider Name: ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NEW JERSEY PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2 FOREST AVE
PARAMUS, NJ
ZIP 07652
Phone: (201) 587-1111
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ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NEW JERSEY PA is a specialist in Paramus, NJ. The provider is 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. ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NEW JERSEY PA NPI is 1417999772. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 FOREST AVE
PARAMUS, NJ
ZIP 07652-214
Phone: (201) 587-1111

The provider's authorized official is Gary Savatsky .
The authorized official title is Delegated Official and has the following contact phone number (201) 587-1111.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA04325000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114781200OTHERNEW JERSEYDEPARTMENT OF LABOR
2540909MEDICARE PINNEW JERSEY
38426670OTHERNEW JERSEYAETNA PPO GROUP #
40038167OTHERNEW JERSEYAETNA HMO GROUP #
5CA3691OTHERNEW JERSEYRAILROAD MEDIARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.