NPIMap

Organization Active NPI

Mam Orthopaedics, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hackensack, NJ
National Provider Identifier
1215248299
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MA05232100 Issued in NJ
Legal business name
MAM ORTHOPAEDICS, PA
Practice address
17 Elm Ave
Hackensack, NJ 07601-4702
Phone
(201) 968-0508
Fax
(201) 968-0509
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Michael A. Meese, M.D.NPI 1588773758
Title
Medical Doctor
Phone
(201) 968-0508

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X 25MA05232100 NJ Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X
Durable Medical Equipment & Medical Supplies 332B00000X
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

17 Elm Ave
Hackensack, NJ 07601-4702

Mailing address

17 Elm Ave
Hackensack, NJ 07601-4702
Phone (201) 968-0508

Other names 2

  • Sports Medicine and Orthopaedic Center of New Jersey Doing business as
  • MEESE SPORTS MEDICINE AND ORTHOPAEDIC CENTER Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101013001197 NJ Part B Supplier - Clinic/Group Practice 1254523863 Receives reassigned benefits from 2 practitioners
Practice locations: Hackensack, NJ
O20200319000927 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1254523863 Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1215248299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELM AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014702",
            "telephone_number": "201-968-0508",
            "fax_number": "201-968-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELM AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014702",
            "telephone_number": "201-968-0508",
            "fax_number": "201-968-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAM ORTHOPAEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MEESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "201-968-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA05232100",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine and Orthopaedic Center of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports Medicine and Orthopaedic Center of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEESE SPORTS MEDICINE AND ORTHOPAEDIC CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.