NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC (NPI# 1386079978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386079978 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC |
| Other Organization Name | THE ORTHOPEDIC INSTITUTE OF NJ |
| Practice Address |
380 Lafayette Rd Suite 203 Sparta NJ 07871 |
| 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 |
| 1013342609 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 66 Sunset Strip, Suite 400, Succasunna, NJ 07876 | 2013-09-13 |
| Street Address |
380 LAFAYETTE RD SUITE 203 |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821398199 | Specialty Surgical Center, LLC | Anesthesiology | 380 Lafayette Rd, Suite 110, Sparta, NJ 07871-3556 | 2010-11-02 |
| 1205073814 | Advanced Spinal Care & Associates, LLC | Specialist | 380 Lafayette Rd, Sparta, NJ 07871-3556 | 2009-01-20 |
| 1861663544 | Sparta Anesthesia Associates, LLC | Anesthesiology | 380 Lafayette Rd, Suite 110, Sparta, NJ 07871-3556 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| 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 |
|---|---|---|---|---|
| 1730581182 | Dana Monto | Specialist | 455 Stanhope Rd, Sparta, NJ 07871-2816 | 2014-09-17 |
| 1700291531 | Meghan Marencik | Specialist | 23 Bridle Way, Sparta, NJ 07871-1738 | 2014-07-01 |
| 1437450053 | Top Flight Medical Group LLC | Specialist | 431 Sewell Dr, Sparta, TN 38583-1223 | 2010-11-12 |
| 1780805010 | Cumberland Plateau Surgical Associates | Specialist | 621 N Spring St, Sparta, TN 38583-1159 | 2007-05-02 |
| 1467574558 | Barbara B Razer | Specialist | 633 Cypress Ln, Sparta, IL 62286-1054 | 2007-04-06 |
| 1699833665 | Joanne Welles | Specialist | 18 Mohawk Ave, Sparta Township Board of Education, Sparta, NJ 07871-1809 | 2006-12-04 |
| 1053322354 | David Basch | Specialist | 90 Sparta Ave, Sparta, NJ 07871-1730 | 2006-08-11 |
| 1922074616 | John Vitolo | Specialist | 540 Lafayette Rd, Suite D, Sparta, NJ 07871-3447 | 2006-02-23 |
| 1184613077 | Melissa Maria Sotillo | Specialist | 147 Woodport Rd, Sparta, NJ 07871-2339 | 2005-10-14 |
| 1568461135 | Sussex Radiation Oncology Associates | Specialist | 89 Sparta Ave, Sparta, NJ 07871-1777 | 2005-07-18 |
| Find all providers in SPARTA | ||||
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| 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.