CENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER (NPI# 1710151014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710151014 |
| Entity Type | Organization |
| Organization Name | CENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER |
| Practice Address |
101 Prospect St Suite 107 Lakewood NJ 08701-5020 |
| Practice Telephone | 7329058153 |
| Mailing Telephone | 7329058153 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | DR. ANDREW HARRISON (PRESIDENT) |
| Authorized Official Telephone | 7329058153 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MA06286400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 25MA06286400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | GHI | 6009584 | 01 |
| NJ | RAILROAD MEDICARE | 200025845 | 01 |
| NJ | 0101389 | 05 |
| Street Address |
101 PROSPECT ST SUITE 107 |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212598 | Kiritkumar M Pandya | Urology | 101 Prospect St, St#101, Lakewood, NJ 08701-5020 | 2005-08-20 |
| 1205348083 | Nj Cataract and Laser Institute | Clinic/Center | 101 Prospect St, Lakewood, NJ 08701-5020 | 2017-11-01 |
| 1619417128 | D&m Ventures LLC | Pharmacy | 101 Prospect St, Suite#115, Lakewood, NJ 08701-5020 | 2017-03-02 |
| 1396282778 | Bhmg-corporate Care | Community Health Worker | 101 Prospect St, Suite 120, Lakewood, NJ 08701-5020 | 2017-01-24 |
| 1659547552 | Mark A. Feldman M.d. | Orthopaedic Surgery | 101 Prospect St, Suite 214, Lakewood, NJ 08701-5020 | 2008-05-01 |
| 1255518262 | Suresh C Giri Md Pa | Specialist | 101 Prospect St, Suite #117, Lakewood, NJ 08701-5020 | 2008-01-22 |
| 1073734877 | Kimrad LLC | Radiology | 101 Prospect St, Suite 111, Lakewood, NJ 08701-5020 | 2007-05-01 |
| 1073632477 | Eye Consultants Pa | Ophthalmology | 101 Prospect St, Suite 102, Lakewood, NJ 08701-5020 | 2007-03-28 |
| 1922145879 | Sns Rheumatology Associates, Inc. | Specialist | 101 Prospect St, Suite 216, Lakewood, NJ 08701-5020 | 2007-01-31 |
| 1457420135 | Cataract & Laser Institute P A | Clinic/Center | 101 Prospect St, Ste 102, Lakewood, NJ 08701 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| 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 |
|---|---|---|---|---|
| 1255775219 | Albert Max D'heurle | Orthopaedic Surgery | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499 | 2013-04-22 |
| 1033391792 | Outreach Professional Services Inc | Orthopaedic Surgery | 14601 Detroit Rd, Suite 640, Lakewood, OH 44107 | 2007-12-04 |
| 1427063197 | Ezzat Wadih Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2006-07-30 |
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1669934196 | Oco Care of Co, LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1972915627 | John Timothy Heffernan | Orthopaedic Surgery | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499-8000 | 2014-05-29 |
| 1568809226 | Richard Sung Ahn | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2013-06-03 |
| 1982848099 | Andrew Jonathan Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2009-04-21 |
| 1821263807 | Matthew V Jenkins | Orthopaedic Surgery | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2008-04-29 |
| 1700920840 | Stephen Dinenberg | Orthopaedic Surgery | 2020 Wadsworth Blvd, Ste 14b, Lakewood, CO 80214-5728 | 2007-02-19 |
| Find all providers in LAKEWOOD | ||||
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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.