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Contact Information

ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
719 NORTH BEERS ST
SUITE C-1
HOLMDEL, NJ07733
 Phone: 732-888-2100
 Fax: 732-888-2188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC

NPI # 1679637052
LBN Legal business name ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
Authorized official DAVID LOPEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # 25MA07887100
NJ Medicaid 0082295
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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