Active NPIOrganization

Orthopedic Surgery & Sports Medicine Center, LLC

Specialist in Lincoln Park, New Jersey

NPI Number1598712556
Practice location
61 Beaverbrook RD, Ste 201, Lincoln Park, NJ 07035-1748
Fax
973-696-9294
Last updated
December 7, 2007

Orthopedic Surgery & Sports Medicine Center, LLC is a healthcare organization based in Lincoln Park, NJ. Orthopedic Surgery & Sports Medicine Center, LLC practices in Lincoln Park, NJ. The NPI Number for Orthopedic Surgery & Sports Medicine Center, LLC is 1598712556 and holds a License No. 43990 (NJ). The current practice location address for Orthopedic Surgery & Sports Medicine Center, LLC is 61 Beaverbrook RD, Ste 201, Lincoln Park, NJ 07035-1748 and can be reached out via phone at 973-616-0200 and via fax at 973-696-9294.

Provider Profile Details

NPI Number
1598712556
Provider Name
Orthopedic Surgery & Sports Medicine Center, LLC
Provider Entity Type
Organization
Address
61 Beaverbrook RD, Ste 201, Lincoln Park, NJ 07035-1748
Phone Number
973-616-0200
Fax Number
973-696-9294
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Mrs. Jeannette Botero · Office Manager · 973-616-0200
Provider Enumeration Date
May 27, 2006
Last Update Date
December 7, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Beaverbrook RD
Ste 201
Lincoln Park, NJ 07035-1748
Zip
07035-1748
Phone Number
973-616-0200
Fax Number
973-696-9294
Lincoln Park, NJ 07035Get directions →

Provider Business Mailing Address Details

Address
61 Beaverbrook RD
Ste 201
Lincoln Park, NJ 07035-1748
City
Lincoln Park
State
NJ
Zip
07035-1748
Phone Number
973-616-0200
Fax Number
973-696-9294

License Information

License Number (1)
43990
License State (1)
NJ
Taxonomy (1)
Specialist · 174400000X
License Number (2)
62817
License State (2)
NJ
Taxonomy (2)
Specialist · 174400000X
License Number (3)
64376
License State (3)
NJ
Taxonomy (3)
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 Orthopedic Surgery & Sports Medicine Center, LLC?

The NPI number of Orthopedic Surgery & Sports Medicine Center, LLC is 1598712556. It was assigned on May 27, 2006 and is currently active in the NPPES registry.

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

Orthopedic Surgery & Sports Medicine Center, LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 43990.

Where does Orthopedic Surgery & Sports Medicine Center, LLC practice?

The practice location is 61 Beaverbrook RD, Ste 201, Lincoln Park, NJ 07035-1748. The office can be reached at 973-616-0200 (phone) or 973-696-9294 (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 1598712556 directly on the NPPES registry website.

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