NPIMap

Organization Active NPI

Burlington County Orthopaedic Specialists PA

  • Orthopaedic Surgery Physician
  • Mount Laurel, NJ
National Provider Identifier
1215997200
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA
Practice address
2059 Briggs Rd Ste 304
Mount Laurel, NJ 08054-4640
Phone
(856) 235-7080
Fax
(856) 273-0402
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Chris Risley
Title
Biller
Phone
(856) 235-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2059 Briggs Rd Ste 304
Mount Laurel, NJ 08054-4640

Mailing address

2059 Briggs Rd Ste 304
Mount Laurel, NJ 08054-4640
Phone (856) 235-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000177 NJ Part B Supplier - Clinic/Group Practice 6103818976 Receives reassigned benefits from 8 practitioners
Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

204 Ark Rd
Ste 105
Mount Laurel, NJ 08054
Phone (856) 235-7080

2059 Briggs Rd
Ste 304
Mount Laurel, NJ 08054
Phone (609) 379-7000

Practitioners & affiliated clinicians

Practitioners 10

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": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1215997200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 BRIGGS RD STE 304",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544640",
            "telephone_number": "856-235-7080",
            "fax_number": "856-273-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 BRIGGS RD STE 304",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544640",
            "telephone_number": "856-235-7080",
            "fax_number": "856-273-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON COUNTY ORTHOPAEDIC SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "RISLEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "856-235-7080"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.