Active NPIOrganization

North Jersey Sports Medicine & Orthopedic Center, LLC

Specialist in Randolph, New Jersey

NPI Number1013342609
Practice location
711 Route 10 E Ste 100, Randolph, NJ 07869-2030
Fax
908-684-3301
Last updated
October 7, 2025

North Jersey Sports Medicine & Orthopedic Center, LLC is a healthcare organization based in Randolph, NJ. North Jersey Sports Medicine & Orthopedic Center, LLC practices in Randolph, NJ. The NPI Number for North Jersey Sports Medicine & Orthopedic Center, LLC is 1013342609 and holds a License No. 25MB06992500 (NJ). The current practice location address for North Jersey Sports Medicine & Orthopedic Center, LLC is 711 Route 10 E Ste 100, Randolph, NJ 07869-2030 and can be reached out via phone at 908-684-3005 and via fax at 908-684-3301.

Provider Profile Details

NPI Number
1013342609
Provider Name
North Jersey Sports Medicine & Orthopedic Center, LLC
Provider Entity Type
Organization
Address
711 Route 10 E Ste 100, Randolph, NJ 07869-2030
Phone Number
908-684-3005
Fax Number
908-684-3301
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
Yes
Parent Organization
North Jersey Sports Medicine & Orthopedic C
Authorized Official
Dr. Robert A Defalco, MD · Owner · 908-684-3005
Other Names
The Orthopedic Institute Of Nj (Doing Business As)
Provider Enumeration Date
September 13, 2013
Last Update Date
October 7, 2025
Certification Date
October 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
711 Route 10 E Ste 100
Randolph, NJ 07869-2030
Zip
07869-2030
Phone Number
908-684-3005
Fax Number
908-684-3301
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
376 Lafayette RD Ste 202
Sparta, NJ 07871-3560
City
Sparta
State
NJ
Zip
07871-3560
Phone Number
908-684-3005
Fax Number
908-684-3301

License Information

License Number (1)
25MB06992500
License State (1)
NJ
Taxonomy (1)
Specialist · 174400000X
License Number (2)
25MB06971100
License State (2)
NJ
Taxonomy (2)
Specialist · 174400000X · 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 North Jersey Sports Medicine & Orthopedic Center, LLC?

The NPI number of North Jersey Sports Medicine & Orthopedic Center, LLC is 1013342609. It was assigned on September 13, 2013 and is currently active in the NPPES registry.

What is the specialty of North Jersey Sports Medicine & Orthopedic Center, LLC?

North Jersey Sports Medicine & Orthopedic Center, LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MB06992500.

Where does North Jersey Sports Medicine & Orthopedic Center, LLC practice?

The practice location is 711 Route 10 E Ste 100, Randolph, NJ 07869-2030. The office can be reached at 908-684-3005 (phone) or 908-684-3301 (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 1013342609 directly on the NPPES registry website.

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