National Provider Identifier Database

NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC
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.


Contact Information

NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC
222 HIGH ST
SUITE 202
NEWTON, NJ07860
Phone: 908-684-3005
Fax: 908-684-3301
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC

NPI Number 1265862635
Legal business name
LBN
NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC
Authorized official ROBERT DEFALCO - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/20/2013
Last updated 08/07/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MB06971100
  • NJ License #: 25MB06992500

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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