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Contact Information

NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC
108 BILBY ROAD
SUITE 201
HACKETTSTOWN, NJ07840
 Phone: 908-684-3005
 Fax: 908-684-3301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI Number 1619025038
LBN Legal business name NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC
Authorized official DOREE VANDENBERGH - (CREDENTIALER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 11/06/2009 - About 17 years ago
Identifiers
NJ License # 25MB06971100
NJ License # 25MB06992500
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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