Active NPIOrganization

Active Orthopaedics And Sports Medicine, PA

Orthopaedic Surgery, Sports Medicine in Hackensack, New Jersey

NPI Number1659326569
Practice location
25 Prospect Ave, Hackensack, NJ 07601-1960
Fax
201-343-7410
Last updated
December 16, 2008

Active Orthopaedics And Sports Medicine, PA is a healthcare organization based in Hackensack, NJ. Active Orthopaedics And Sports Medicine, PA practices in Hackensack, NJ. The NPI Number for Active Orthopaedics And Sports Medicine, PA is 1659326569 and holds a License No. 25MA08256500 (NJ). The current practice location address for Active Orthopaedics And Sports Medicine, PA is 25 Prospect Ave, Hackensack, NJ 07601-1960 and can be reached out via phone at 201-343-2277 and via fax at 201-343-7410.

Provider Profile Details

NPI Number
1659326569
Provider Name
Active Orthopaedics And Sports Medicine, PA
Provider Entity Type
Organization
Address
25 Prospect Ave, Hackensack, NJ 07601-1960
Phone Number
201-343-2277
Fax Number
201-343-7410
Primary Taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X
Organization Subpart
No
Authorized Official
Michael Lee Gross, MD · President/Owner · 201-358-0707
Provider Enumeration Date
May 23, 2006
Last Update Date
December 16, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Prospect Ave
Hackensack, NJ 07601-1960
Zip
07601-1960
Phone Number
201-343-2277
Fax Number
201-343-7410
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
390 Old Hook RD
Westwood, NJ 07675-2616
City
Westwood
State
NJ
Zip
07675-2616
Phone Number
201-358-0707
Fax Number
201-358-9777

License Information

License Number (1)
25MA08256500
License State (1)
NJ
Taxonomy (1)
Orthopaedic Surgery, Sports Medicine · 207XX0005X
License Number (2)
25MA5362900
License State (2)
NJ
Taxonomy (2)
Orthopaedic Surgery, Sports Medicine · 207XX0005X · 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 Active Orthopaedics And Sports Medicine, PA?

The NPI number of Active Orthopaedics And Sports Medicine, PA is 1659326569. It was assigned on May 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Active Orthopaedics And Sports Medicine, PA?

Active Orthopaedics And Sports Medicine, PA is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in NJ under license number 25MA08256500.

Where does Active Orthopaedics And Sports Medicine, PA practice?

The practice location is 25 Prospect Ave, Hackensack, NJ 07601-1960. The office can be reached at 201-343-2277 (phone) or 201-343-7410 (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 1659326569 directly on the NPPES registry website.

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