CASEY CRESBAUGH


Address: 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070
Phone: 2019752323

CASEY CRESBAUGH (NPI# 1528601796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528601796
Entity Type Individual
Full Name CASEY CRESBAUGH
Credential PA
Practice Address 201 Nj-rt 17
Suite 1202
Rutherford
NJ 07070
Mailing Address 10e Nobhill
Roseland
NJ 07068-3803
Practice Telephone 2019752323
Enumeration Date 2019-10-21
Last Update Date 2019-11-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 25MP00549200 NJ Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant 25M00549200 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 25MP00549200 05

Office Location

Street Address 201 NJ-RT 17
SUITE 1202
City RUTHERFORD
State NJ
Zip Code 07070

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407317019 Riverside Surgical Center of Meadowlands, LLC Clinic/Center 201 Nj-17, 12th Floor, Rutherford, NJ 07070 2019-03-27
1124437975 Valerie Pagan Orthotic Fitter 154 Union Ave Apt 23, Rutherford, NJ 07070 2014-08-06
1437592946 Brett Bielory Ophthalmology 201 17 North, Suite 1202, Rutherford, NJ 07070 2013-04-15
1427317437 Jose Manuel Rodriguez Counselor 89 Ridge Rd. Suite 4, North Arlington, NJ 07070 2012-05-10
1649565987 Rahul Gurbux Matnani Pathology 201 Route 17 Fl 2, Rutherford, NJ 07070 2011-06-15
1750523379 Preethi Venugopal Ramaswamy Dermatology 201 New Jersey 17, 11th Floor, Rutherford, NJ 07070 2009-03-27
1457545675 Rutherford Allied Medical Group Chiropractor 323 Union Avenue, Rutherford, NJ 07070 2007-08-30
1861612012 Meadowlands Dental Association Dentist 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 2007-04-30
1477672327 Robert S Freda Chiropractor 287 Park Avenue, Rutherford, NJ 07070 2007-03-29
1235254988 Michael Schwarz Md LLC Specialist 201 Rte 17 North, 11th Floor, Rutherford, NJ 07070 2007-03-20
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710220090 Luis Grau Orthopaedic Surgery 201 Route 17 Ste 1202, Rutherford, NJ 07070-2574 2013-04-04
1710964390 Wayne J Altman Orthopaedic Surgery 85 Orient Way, 1st Fl, Rutherford, NJ 07070 2005-12-27
1699118869 Milad Alam Orthopaedic Surgery 201 Route 17, Rutherford, NJ 07070-2574 2013-04-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396342507 Virtua Medical Group, Pa Orthopaedic Surgery 1315 Route 9 S Ste 101, Cape May Court House, NJ 08210-2931 2020-10-01
1811501521 Genfit Medical LLC Orthopaedic Surgery 143 E Ridgewood Ave Ste 765, Ridgewood, NJ 07450-3815 2020-09-01
1285257212 Nexgen Wellness Orthopaedic Surgery 33 E Midland Ave Unit 1365, Paramus, NJ 07652-2916 2020-05-26
1558984955 Orozco Orthopaedics LLC Orthopaedic Surgery 517 Route 72 W Ste K, Manahawkin, NJ 08050-2821 2020-05-20
1801417423 Genfit Health Orthopaedic Surgery 143 E Ridgewood Ave Ste 784, Ridgewood, NJ 07450-3815 2020-05-05
1033730106 Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC Orthopaedic Surgery 698 Mullica Hill Rd Ste 150, Mullica Hill, NJ 08062-4454 2020-04-30
1750902862 Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC Orthopaedic Surgery 556 Egg Harbor Rd Ste A, Sewell, NJ 08080-2326 2020-04-29
1386271625 South Shore Orthotics and Bracing Orthopaedic Surgery 649 Shore Rd Ste 0, Somers Point, NJ 08244-2449 2020-03-26
1881245561 Multi-speciality Orthopedics LLC Orthopaedic Surgery 225 Millburn Ave Ste 104a, Millburn, NJ 07041-1712 2019-09-24
1558913798 Seaview Orthopaedics & Medical Associates LLP Orthopaedic Surgery 2139 Route 35 Ste 140, Holmdel, NJ 07733-1094 2019-07-09
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Competitor

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City RUTHERFORD
Zip Code 07070

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Dataset Information

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.

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