RECONSTRUCTIVE ORTHOPEDICS, P.A. (NPI# 1053718882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053718882 |
| Entity Type | Organization |
| Organization Name | RECONSTRUCTIVE ORTHOPEDICS, P.A. |
| Practice Address |
131 Route 70 Medford NJ 08055 |
| Mailing Address |
4 Eves Dr # A Suite 100 Marlton NJ 08053-3195 |
| Practice Telephone | 6092679400 |
| Practice Fax Number | 6092679457 |
| Mailing Telephone | 6092679400 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | MELONIE GARRON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6092679400 |
| Is Organization Subpart | Y |
| Parent Organization Name | RECONSTRUCTIVE ORTHOPEDICS, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 773 E Route 70, Building E-100, Marlton, NJ 080532362 | 6092679400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595248 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 243 Route 130, Suite 100, Bordentown, NJ 08505-2137 | 2014-11-12 |
| 1124526421 | Reconstructive Orthopedics, P.a. | Orthopaedic Surgery | 131 Route 70, Medford, NJ 08055 | 2018-02-01 |
| 1023415866 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 239 Hurffville Crosskeys Rd, Suite 440, Sewell, NJ 08080-4002 | 2014-11-21 |
| 1891191201 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 570 Egg Harbor Rd, Suite C-4, Sewell, NJ 08080-2359 | 2014-11-12 |
| 1881090298 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 1004 Haddonfield Rd, Cherry Hill, NJ 08002-2746 | 2014-11-12 |
| 1295131696 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043-9623 | 2014-11-12 |
| 1609272095 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3130 | 2014-11-12 |
| 1679979090 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 994 W Sherman Ave, Building 1, Vineland, NJ 08360-6937 | 2014-11-12 |
| Street Address |
131 ROUTE 70 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090858 | Evan Gibson | Physical Therapist | 131 Route 70, Medford, NJ 08055-9501 | 2020-07-14 |
| 1831717404 | Ivyrehab Network, Inc. | Physical Medicine & Rehabilitation | 131 Route 70, Medford, NJ 08055-9501 | 2020-07-10 |
| 1235759333 | Maureen Hennessy | Occupational Therapist | 131 Route 70, Medford, NJ 08055-9501 | 2020-04-20 |
| 1790324796 | Gina L Ragonese | Occupational Therapist | 131 Route 70, Medford, NJ 08055-9501 | 2019-12-23 |
| 1104311612 | Joseph M Bodnar | Physical Therapist | 131 Route 70, Medford, NJ 08055 | 2018-06-27 |
| 1124526421 | Reconstructive Orthopedics, P.a. | Orthopaedic Surgery | 131 Route 70, Medford, NJ 08055 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1528269735 | Richard Farrell Owens Jr. | Orthopaedic Surgery | 2780 East Barnett Road, Suite 200, Southern Oregon Orthopedics, Medford, OR 97504 | 2007-05-29 |
| 1578684627 | Patrick J Denard | Orthopaedic Surgery | 2780 E. Barnett, Suite 200, Medford, OR 97504 | 2007-04-03 |
| 1316935414 | Darrell Theodore Weinman | Orthopaedic Surgery | 2780 E Barnett Rd, Suite 200, Medford, OR 97504-8343 | 2005-10-12 |
| 1538166756 | James D Dowd | Orthopaedic Surgery | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2005-07-01 |
| 1124526421 | Reconstructive Orthopedics, P.a. | Orthopaedic Surgery | 131 Route 70, Medford, NJ 08055 | 2018-02-01 |
| 1770014284 | Advanced Joint Replacement Center of Southern Oregon | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8425 | 2017-03-26 |
| 1396069811 | James Ho | Orthopaedic Surgery | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2010-03-26 |
| 1326370909 | Cameron James Phillips | Orthopaedic Surgery | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2010-02-05 |
| 1922273994 | Todd A Clevenger | Orthopaedic Surgery | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2008-04-29 |
| Find all providers in MEDFORD | ||||
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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.