ORTHOPAEDIC ASSOCIATES OF FAIR LAWN, LLC (NPI# 1275940306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275940306 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC ASSOCIATES OF FAIR LAWN, LLC |
| Practice Address |
85 Harristown Rd Suite 103 Glen Rock NJ 07452-3329 |
| Practice Telephone | 8443668800 |
| Mailing Telephone | 8443668800 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | BRYAN MASSOUD (PRESIDENT) |
| Authorized Official Telephone | 8443668800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
25MA06309600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
85 HARRISTOWN RD SUITE 103 |
| City | GLEN ROCK |
| State | NJ |
| Zip Code | 07452-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477956 | Almerindo G. Portfolio Jr. | Ophthalmology | 85 Harristown Rd, Suite 102, Glen Rock, NJ 07452-3329 | 2005-06-15 |
| 1760933576 | Group Orthopedics LLC | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2016-10-17 |
| 1235687401 | Orthopedic Associates of New Jersey | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2016-09-16 |
| 1801266275 | Sovereign Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 85 Harristown Rd, Suite 101, Glen Rock, NJ 07452-3329 | 2015-09-29 |
| 1609271295 | Oasis Medical and Surgical Wellness Group LLC | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3307 | 2014-10-26 |
| 1821498973 | Med-surg Durables LLC | Durable Medical Equipment & Medical Supplies | 85 Harristown Rd, Glen Rock, NJ 07452-3307 | 2014-08-26 |
| 1922419654 | Med-surg Practitioners, LLC | Physician Assistant | 85 Harristown Rd, Suite 201, Glen Rock, NJ 07452-3307 | 2014-05-15 |
| 1780646232 | Bryan J Massoud | Specialist | 85 Harristown Rd, Suite 103, Glen Rock, NJ 07452-3329 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632872 | Yufit Orthopedics LLC | Orthopaedic Surgery | 144 S Mountain Ave, Montclair, NJ 07042-1721 | 2019-04-23 |
| 1770925083 | Sergio Hernando Pulido | Orthopaedic Surgery | 42 E Laurel Rd Ste 3900, Stratford, NJ 08084-1354 | 2013-07-28 |
| 1275842288 | John Joseph Callaghan | Orthopaedic Surgery | 504 Valley Rd Ste 200, Wayne, NJ 07470-3534 | 2010-09-26 |
| 1922257799 | Mark Adams | Orthopaedic Surgery | 140 Bergen St # D1610, Newark, NJ 07103 | 2008-09-16 |
| 1639274061 | David Kirschenbaum | Orthopaedic Surgery | 2186 State Route 27, Suite 1a, North Brunswick, NJ 08902-1137 | 2006-09-13 |
| 1689679722 | Frank Anthony Liporace | Orthopaedic Surgery | 377 Jersey Ave, Suite 280, Jersey City, NJ 07302-4393 | 2005-06-16 |
| 1083975817 | Orthopaedic Trauma Institute Pa | Orthopaedic Surgery | 2315 Highway 34, Suite D, Manasquan, NJ 08736-1444 | 2012-06-07 |
| 1184981789 | Atif Khalid Ahmed | Orthopaedic Surgery | 1225 Whitehorse Mercerville Rd Ste 220, Mercerville, NJ 08619-3882 | 2012-04-19 |
| 1285942268 | Craig Wright | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2010-09-23 |
| 1801046826 | Meelan Nick Patel | Orthopaedic Surgery | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2008-09-26 |
| Find all providers with the same taxonomy | ||||
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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.