Active NPIOrganization

Active Orthopedics And Sports Medicine, LLC

Orthopaedic Surgery, Sports Medicine in Hackensack, New Jersey

NPI Number1922389600
Practice location
25 Prospect Ave, Hackensack, NJ 07601-1960
Fax
201-343-7410
Last updated
September 8, 2011

Active Orthopedics And Sports Medicine, LLC is a healthcare organization based in Hackensack, NJ. Active Orthopedics And Sports Medicine, LLC practices in Hackensack, NJ. The NPI Number for Active Orthopedics And Sports Medicine, LLC is 1922389600 and holds a License No. 25MA05362900 (NJ). The current practice location address for Active Orthopedics And Sports Medicine, LLC 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
1922389600
Provider Name
Active Orthopedics And Sports Medicine, LLC
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
Dr. Michael L. Gross, MD · Owner · 201-343-2277
Provider Enumeration Date
September 8, 2011
Last Update Date
September 8, 2011
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
25 Prospect Ave
Hackensack, NJ 07601-1960
City
Hackensack
State
NJ
Zip
07601-1960
Phone Number
201-343-2277
Fax Number
201-343-7410

License Information

License Number
25MA05362900
License State
NJ
Taxonomy
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 Orthopedics And Sports Medicine, LLC?

The NPI number of Active Orthopedics And Sports Medicine, LLC is 1922389600. It was assigned on September 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Active Orthopedics And Sports Medicine, LLC?

Active Orthopedics And Sports Medicine, LLC is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in NJ under license number 25MA05362900.

Where does Active Orthopedics And Sports Medicine, LLC 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 1922389600 directly on the NPPES registry website.

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