NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC (NPI# 1215443841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215443841 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC |
| Other Organization Name | THE ORTHOPEDIC INSTITUTE OF NEW JERSEY |
| Practice Address |
218 Ridgedale Ave Ste 202 Cedar Knolls NJ 07927-2109 |
| Mailing Address |
108 Bilby Rd Ste 201 Hackettstown NJ 07840-4174 |
| Practice Telephone | 9086843005 |
| Practice Fax Number | 9086843301 |
| Mailing Telephone | 9086843005 |
| Mailing Fax Number | 9086843301 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | ROBERT A DEFALCO JR. (PHYSICIAN-OWNER) |
| Authorized Official Telephone | 9086843005 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MB069711 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Orthopedic Institute of New Jersey | 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 |
| 1417575531 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 95 Madison Ave Ste 101, Morristown, NJ 07960-7331 | 2020-07-07 |
| 1013342609 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 66 Sunset Strip, Suite 400, Succasunna, NJ 07876 | 2013-09-13 |
| 1386079978 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 380 Lafayette Rd, Suite 203, Sparta, NJ 07871 | 2013-09-13 |
| Street Address |
218 RIDGEDALE AVE STE 202 |
| City | CEDAR KNOLLS |
| State | NJ |
| Zip Code | 07927-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459587 | Casey Solana | Pharmacist | Schralt's 2.0 LLC Pharmacy, 3 Wing Drive Suite 102, Cedar Knolls, NJ 07927 | 2019-10-28 |
| 1134760077 | Victoria Khavulya | Pharmacist | 3 Wing Dr, Ste 102, Cedar Knolls, NJ 07927 | 2019-10-02 |
| 1447891478 | Jennifer Cela | Registered Nurse | 3 Wing Drive Suite 102, Schraft's 2.0 Pharmacy LLC, Cedar Knolls, NJ 07927 | 2019-10-01 |
| 1578082079 | Towne Drugs LLC | Durable Medical Equipment & Medical Supplies | 103 Ridgedale Avenue, Cedar Knolls, NJ 07927 | 2017-09-15 |
| 1740615079 | Kenneth Simms | Physical Therapist | 197 Ridgedale Ave Suite 155, Cedar Knolls, NJ 07927 | 2013-09-05 |
| 1356775027 | Kristina E Warchol | Physical Therapist | 197 Ridgedale Ave. Suite155, Cedar Knolls, NJ 07927 | 2013-08-29 |
| 1982043857 | Samuel Torres Dona Jr. | Physical Medicine & Rehabilitation | 197 Ridgedale Ave Ste 300, Cedar Knolls, NJ 07927 | 2013-06-24 |
| 1144565292 | Lindsay H. Chambers | Physical Therapist | 197 Ridedale Ave., Suite 155, Cedar Knolls, NJ 07927 | 2012-11-30 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1225369671 | James O'rourke Physical Therapy, LLC. | Physical Therapist | 8 Ridgedale Ave, Cedar Knolls, NJ 07927 | 2010-01-25 |
| Find all providers in zip 07927 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457440711 | Stephen A Hunt | Orthopaedic Surgery | 197 Ridgedale Ave, Cedar Knolls, NJ 07927-2111 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
| 1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
| 1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
| 1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
| 1679637052 | Orthopaedic and Sports Medicine Specialists, Inc | Orthopaedic Surgery | 719 North Beers St, Suite C-1, Holmdel, NJ 07733 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR KNOLLS |
| Zip Code | 07927 |
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.