Active NPI
Northlands Orthopaedic Institute, LLC
- Orthopaedic Surgery Physician
- Wayne, NJ
National Provider Identifier
1194218008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NORTHLANDS ORTHOPAEDIC INSTITUTE, LLC
- Practice address
- 504 Valley Rd Ste 200
Wayne, NJ 07470 - Phone
- (973) 317-1182
- NPI assigned
- Jun 14, 2018
- Last updated
- Jun 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kinga Dybas
- Title
- Cfo/Practice Administrator
- Phone
- (973) 317-1182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
504 Valley Rd Ste 200
Wayne, NJ 07470
Mailing address
504 Valley Rd Ste 200
Wayne, NJ 07470-3534
Phone (973) 317-1182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Wayne, NJ
- NPI 1669496865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528934400000",
"number": "1194218008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 VALLEY RD STE 200",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703534",
"telephone_number": "973-317-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 VALLEY RD STE 200",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-317-1182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHLANDS ORTHOPAEDIC INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A",
"authorized_official_last_name": "DYBAS",
"authorized_official_first_name": "KINGA",
"authorized_official_title_or_position": "CFO/PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "973-317-1182"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.