Active Orthopaedics And Sports Medicine, Pa
LBN: Active Orthopaedics And Sports Medicine, Pa
Active Orthopaedics And Sports Medicine, Pa is an health care organization with primary practice located at 25 Prospect Ave , Hackensack NJ 07601-1960. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Active Orthopaedics And Sports Medicine, Pa can be contacted via phone (201) 343-2277, or through Gross, Michael Lee via phone (201) 358-0707.
Contact Information
Primary practice address
25 Prospect Ave
Hackensack NJ 07601-1960
Phone: (201) 343-2277
Fax: (201) 343-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25MA5362900 | New Jersey |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25MA08256500 | New Jersey |
Profile Details
| NPI number | 1659326569 |
|---|---|
| LBN Legal business name | Active Orthopaedics And Sports Medicine, Pa |
| DBA Doing business as | |
| Authorized official | Gross, Michael Lee Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Dec 16th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659326569 | NPPES |
| New Jersey | Other | CK8050 | RAILROAD MEDICARE |
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