Champion Orthopedics

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA04745000 Issued in NJ

Legal business name

CHAMPION ORTHOPEDICS

Practice address

3635 Quakerbridge Rd Ste 3
Hamilton, NJ 08619-1247

Phone

(609) 689-2603

Fax

(609) 689-4640

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Stephanie J Long

Title

Administrator

Phone

(609) 689-2603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1164708806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 QUAKERBRIDGE RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191247",
            "telephone_number": "609-689-2603",
            "fax_number": "609-689-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 QUAKERBRIDGE RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191247",
            "telephone_number": "609-689-2603",
            "fax_number": "609-689-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-689-2603"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04745000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.