PREFERRED PEDIATRIC ORTHOPEDIC SURGERY LLC (NPI# 1003384918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003384918 |
| Entity Type | Organization |
| Organization Name | PREFERRED PEDIATRIC ORTHOPEDIC SURGERY LLC |
| Practice Address |
106 Prospect Street 3rd Floor Ridgewood NJ 07450-4433 |
| Practice Telephone | 2016392656 |
| Practice Fax Number | 2013454405 |
| Mailing Telephone | 2016392656 |
| Mailing Fax Number | 2013454405 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | AVRUM JOFFE (PHYSICIAN/ORTHOPEDIC SURGEON) |
| Authorized Official Telephone | 2016392656 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
106 PROSPECT STREET 3RD FLOOR |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360576 | Jill Kathleen Mcgovern | Physician Assistant | 106 Prospect Street, 3rd Floor, Ridgewood, NJ 07450-4433 | 2020-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700915592 | North Jersey Pediatric Orthpedics Pa | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-03-05 |
| 1437200672 | Douglas George Avella | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841717808 | Coastal Pediatric Orthopedics | Orthopaedic Surgery | 833 Lacey Rd Ste 2, Forked River, NJ 08731-1200 | 2017-08-29 |
| 1124367404 | Evan Curatolo | Orthopaedic Surgery | 1131 Broad St Ste 202, Shrewsbury, NJ 07702-4368 | 2013-02-07 |
| 1457593261 | Christos Plakas | Orthopaedic Surgery | 200 White Rd Ste 108, Little Silver, NJ 07739-1160 | 2009-03-26 |
| 1346416997 | Alice Chu | Orthopaedic Surgery | 150 Bergen St Unit 8c138, Newark, NJ 07103 | 2008-05-05 |
| 1750593356 | Alan C. Tillis | Orthopaedic Surgery | 1 Oskar Ct, Livingston, NJ 07039-8236 | 2007-05-04 |
| 1437370004 | Surender M Grover | Orthopaedic Surgery | 979 Highway 9 North, South Amboy, NJ 08879 | 2007-05-01 |
| 1184626327 | Jennifer Marie Tareco | Orthopaedic Surgery | 766 Route 202/206, Suite 1, Bridgewater, NJ 08807-1777 | 2005-06-01 |
| 1063033421 | Atlantic Pediatric Orthopedics | Orthopaedic Surgery | 1131 Broad St Ste 202, Shrewsbury, NJ 07702-4368 | 2020-04-27 |
| 1619511078 | Stc Pediatrics LLC | Orthopaedic Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1275943110 | Neil Kaushal | Orthopaedic Surgery | 205 South Orange Avenue, C1200, Newark, NJ 07103 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PREFERRED PEDIATRIC ORTHOPEDIC SURGERY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.