NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC (NPI# 1013342609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013342609 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC |
| Other Organization Name | THE ORTHOPEDIC INSTITUTE OF NJ |
| Practice Address |
66 Sunset Strip Suite 400 Succasunna NJ 07876 |
| Mailing Address |
108 Bilby Road Suite 201 Hackettstown NJ 07840 |
| Practice Telephone | 9086843005 |
| Practice Fax Number | 9086843301 |
| Mailing Telephone | 9086843005 |
| Mailing Fax Number | 9086843301 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | DR. ROBERT A DEFALCO JR. (OWNER) |
| Authorized Official Telephone | 9086843005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MB06992500 | NJ | Other Service Providers |
| Y | 174400000X | Specialist | 25MB06971100 | NJ | Other Service Providers |
| Other Name | Type Code |
|---|---|
| The Orthopedic Institute of NJ | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
| 1417575531 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 95 Madison Ave Ste 101, Morristown, NJ 07960-7331 | 2020-07-07 |
| 1386079978 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 380 Lafayette Rd, Suite 203, Sparta, NJ 07871 | 2013-09-13 |
| Street Address |
66 SUNSET STRIP SUITE 400 |
| City | SUCCASUNNA |
| State | NJ |
| Zip Code | 07876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155041 | Robert Scott Pinke | Specialist | 66 Sunset Strip, Ste 107, Succasunna, NJ 07876-1362 | 2005-06-28 |
| 1700387693 | Katherine Cecilia Collins | Nurse Practitioner | 66 Sunset Strip, Succasunna, NJ 07876-1345 | 2018-02-26 |
| 1780127043 | Alexis Dickover | Physical Therapist | 66 Sunset Strip, Suite 400, Succasunna, NJ 07876-1345 | 2016-11-18 |
| 1982095055 | Maureen E. Mcgrath | Registered Nurse | 66 Sunset Strip, Suite 208, Succasunna, NJ 07876-1345 | 2015-02-11 |
| 1174967624 | Shari Dawn Botta | Physical Therapy Assistant | 66 Sunset Strip, Suite 400 Town Center, Succasunna, NJ 07876-1345 | 2013-04-25 |
| 1467795542 | Frank and Sussman, Inc. | Physical Therapist | 66 Sunset Strip, Suite 409, Succasunna, NJ 07876-1345 | 2013-03-27 |
| 1366713737 | Roxbury Surgi Center, LLC | Clinic/Center | 66 Sunset Strip, Suite101, Succasunna, NJ 07876 | 2012-01-18 |
| 1477869782 | Chester I. Stone. M.d. P.a. | Urology | 66 Sunset Strip, # 300, Succasunna, NJ 07876 | 2010-08-24 |
| 1477790582 | Stephen C Frank | Physical Therapist | 66 Sunset Strip, Suite 409, Succasunna, NJ 07876-1345 | 2009-01-12 |
| 1497938906 | Roxbury Imaging LLC | Clinic/Center | 66 Sunset Strip, 404, Succasunna, NJ 07876-1345 | 2007-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612518 | Tara Gerke | Dietitian, Registered | 281 State Route 10 E, Attn: Registered Dietitian, Succasunna, NJ 07876 | 2018-06-11 |
| 1942606314 | Mary D'elia | Speech-Language Pathologist | 3 Kingston Lane, Succasunna, NJ 07876 | 2014-11-13 |
| 1003157793 | Eric David Frank | Dentist | 168 Rte 10 W, Succasunna, NJ 07876 | 2013-03-06 |
| 1497012645 | Leon Grazul Jr. | Pharmacist | 2 Roxbury Mall Strip, Shop Rite Pharmacy, Succasunna, NJ 07876 | 2012-04-12 |
| 1922398411 | Amanda C Seiz | Occupational Therapist | 200 Nj 10, Succasunna, NJ 07876 | 2011-04-18 |
| 1841455805 | Kathryn R Aschoff | Physical Therapist | 200 Route10 West, Sucassunna, NJ 07876 | 2008-07-18 |
| 1366657876 | Paul G Chiodo | Specialist | 151 Rt. 10 East, Suite 201, Succasunna, NJ 07876 | 2007-05-10 |
| 1568585347 | Ann Marie Pagano | Social Worker | 151 Route 10 East, Suite 204, Succasunna, NJ 07876 | 2007-04-09 |
| 1558483768 | Barbara Skinner | Dentist | 281-101 Route 10 East, Roxbury Mall, Succasunna, NJ 07876 | 2007-04-06 |
| 1740325844 | Jerome Gliksberg | Dentist | 22 Rt 10 West, Ste 102, Succasunna, NJ 07876 | 2007-02-20 |
| Find all providers in zip 07876 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366657876 | Paul G Chiodo | Specialist | 151 Rt. 10 East, Suite 201, Succasunna, NJ 07876 | 2007-05-10 |
| 1215917471 | Hand Rehab Associates, LLC | Specialist | 225 Route 10, Suite 102, Succasunna, NJ 07876-1300 | 2006-01-21 |
| 1760480578 | Gamal L Halaka | Specialist | 79 Sunset Strip, Succasunna, NJ 07876-1311 | 2005-07-14 |
| 1174529705 | Joel Martin Gottlieb I | Specialist | 66sunset Strip, Ste107, Succasunna, NJ 07876-1362 | 2005-06-28 |
| 1437155041 | Robert Scott Pinke | Specialist | 66 Sunset Strip, Ste 107, Succasunna, NJ 07876-1362 | 2005-06-28 |
| 1760508584 | Robert C.petrucelli, M.d., P.a. | Specialist | 66 Sunset Strip, Ste 208, Succasunna, NJ 07876 | 2007-03-22 |
| 1992750814 | Stephen W Sadow | Specialist | 66 Sunset Strip, Suite 400, Succasunna, NJ 07876-1345 | 2006-05-23 |
| 1346293735 | Roxbury Eye Center PC | Specialist | 66 Sunset Strip, Suite 107, Succasunna, NJ 07876-1345 | 2006-05-18 |
| 1912976267 | Robert Cortese Petrucelli | Specialist | 66 Sunset Strip, Ste 208, Succasunna, NJ 07876 | 2006-03-17 |
| 1225011273 | Melissa Prestipino | Specialist | 66 Sunset Strip, Suite, 204, Route 10 East, Succasunna, NJ 07876-1345 | 2005-11-23 |
| Find all providers in SUCCASUNNA | ||||
| City | SUCCASUNNA |
| Zip Code | 07876 |
Please comment or provide details below to improve the information on NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, 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.