Organization Active NPI

Advanced Orthopaedic Associates of North Jersey LLC

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
National Provider Identifier
1023583218
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ADVANCED ORTHOPAEDIC ASSOCIATES OF NORTH JERSEY LLC
Practice address
261 Heather LN
Franklin Lakes, NJ 07417-1111
Phone
(551) 206-3003
Fax
(973) 616-4343
NPI assigned
Oct 4, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Dr. Cherise Dyal, MDNPI 1699874487
Title
Managing Member
Phone
(551) 206-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

261 Heather LN
Franklin Lakes, NJ 07417-1111

Mailing address

261 Heather LN
Franklin Lakes, NJ 07417-1111
Phone (551) 206-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190115001275 NJ Part B Supplier - Clinic/Group Practice 2567708480 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

1777 Hamburg Tpke
Ste 301
Wayne, NJ 07470
Phone (973) 839-5700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1023583218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 HEATHER LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171111",
            "telephone_number": "551-206-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 HEATHER LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171111",
            "telephone_number": "551-206-3003",
            "fax_number": "973-616-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPAEDIC ASSOCIATES OF NORTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "DYAL",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "551-206-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.