NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC (NPI# 1619025038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619025038 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC |
| Practice 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 | 2007-01-08 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | DOREE VANDENBERGH (CREDENTIALER/DIRECTOR) |
| Authorized Official Telephone | 9086843005 |
| Is Organization Subpart | N |
| 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 |
| Street Address |
108 BILBY ROAD SUITE 201 |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922473867 | Mary Moran | Physician Assistant | 108 Bilby Road, Suite 201, Hackettstown, NJ 07840 | 2015-12-03 |
| 1740485887 | Kevin S. White | Orthopaedic Surgery | 108 Bilby Road, Ste 201, Hackettstown, NJ 07840 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| 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 |
|---|---|---|---|---|
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1881101764 | Kabeer Dara Abro | Specialist | 106 E Moore St, Hackettstown, NJ 07840-2026 | 2018-01-02 |
| 1720464217 | Sonja Thorsen Baker | Specialist | 1885 Route 57 Ste 5, Hackettstown, NJ 07840-3487 | 2015-08-06 |
| 1326185216 | Anthony Salvatore Jordan | Specialist | 486 Schooley's Mountain Road, Bldg. 2a, Suite 1, Hackettstown, NJ 07840 | 2007-01-31 |
| 1710958137 | Sarwan Singh Kahlam | Specialist | 37 Route 46, Hackettstown, NJ 07840-2623 | 2006-02-01 |
| 1669970349 | Iqbal Awan | Specialist | 106 E Moore St, Hackettstown, NJ 07840-2026 | 2018-01-26 |
| 1942718929 | Beacon Neurodiagnostic Associates LLC. | Specialist | 106 E Moore St, Hackettstown, NJ 07840-2026 | 2018-01-12 |
| 1740418748 | Minimally Invasive Spine and Pain Ctr | Specialist | 254b Mountain Ave, Suite 201, Hackettstown, NJ 07840-2413 | 2009-06-29 |
| 1104064526 | Rhonda J. Kane | Specialist | 490 Schooleys Mountain Rd, Bld 3b, Hackettstown, NJ 07840-4002 | 2009-01-22 |
| 1467602367 | Bobby J Rupani | Specialist | 100 Mountain Ct, Hackettstown, NJ 07840-2300 | 2008-09-26 |
| Find all providers in HACKETTSTOWN | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
Please comment or provide details below to improve the information on NORTH JERSEY SPORTS MEDICINE AND 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.