Organization Active NPI

MSSM-Fpa-Dept of Orthopaedic Surgery

  • Orthopaedic Surgery Physician
  • Livingston, NJ
National Provider Identifier
1215233556
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
251100 Issued in NY
Legal business name
MSSM-FPA-DEPT OF ORTHOPAEDIC SURGERY
Practice address
349 E Northfield Rd
Suite 120
Livingston, NJ 07039-4802
Phone
(973) 758-1078
NPI assigned
Feb 3, 2011
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Douglas A. Jabs, MD,MBA
Title
Ceo
Phone
(212) 241-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 251100 NY Primary

Addresses

Primary practice location

349 E Northfield Rd
Suite 120
Livingston, NJ 07039-4802

Mailing address

5 E 98TH St
Box 1188
New York, NY 10029-6501
Phone (212) 241-6980

National Provider Directory

National Provider Directory
Tax ID family
Mount Sinai Hospital43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1215233556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1188",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-6980",
            "fax_number": "212-534-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 120",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-758-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSSM-FPA-DEPT OF ORTHOPAEDIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "JABS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-241-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MBA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "251100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.