Preferred Pediatric Orthopedic Surgery LLC

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

PREFERRED PEDIATRIC ORTHOPEDIC SURGERY LLC

Practice address

106 Prospect Street
3Rd Floor
Ridgewood, NJ 07450-4433

Phone

(201) 639-2656

Fax

(201) 345-4405

NPI assigned

Nov 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Avrum Joffe, MD

Title

Physician/Orthopedic Surgeon

Phone

(201) 639-2656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Kathleen McGovern, PA-C

  • Physician Assistant
  • Ridgewood, NJ
  • NPI 1295360576
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1003384918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PROSPECT STREET",
            "address_2": "3RD FLOOR",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504433",
            "telephone_number": "201-639-2656",
            "fax_number": "201-345-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROSPECT STREET",
            "address_2": "3RD FLOOR",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504433",
            "telephone_number": "201-639-2656",
            "fax_number": "201-345-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PEDIATRIC ORTHOPEDIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "JOFFE",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "PHYSICIAN/ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "201-639-2656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Victoria Popp, APRN
• Karen Mary Portale, MD
• Danielle B Post, D.P.T.
• Alexa Powell
• Christina Dee Pratti
• Genna Prell, RD
• Premier Obstetrics and Gynecology of Ridgewood PC
• Mark W Preminger, M.D.
• Price Professional Counseling, LLC
• Sarina Rae-Kauffman Price, LPC

• Pediatric Orthopaedic Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pediatric Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.