Individual provider Active NPI

Jose Antonio Canseco, M.D./PH.D.

  • Orthopaedic Surgery Physician
  • Bordentown, NJ
National Provider Identifier
1235558362
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA10763300 Issued in NJ
Practice address
100 K Johnson N. Blvd Ste 202
Bordentown, NJ 08505-2275
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD469339 PA
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA10763300 NJ
Orthopaedic Surgery Physician 207X00000X 25MA10763300 NJ Primary

Addresses

Primary practice location

100 K Johnson N. Blvd Ste 202
Bordentown, NJ 08505-2275

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 592-6191

Other practice location 1

1079 Whitehorse-Mercerville Rd
Hamilton Township, NJ 08610-1424
Phone (800) 321-9999

Other practice location 2

116 Washington Crossing Rd
Pennington, NJ 08534-2514
Phone (800) 321-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200623000923 PA Practitioner - Orthopedic Surgery 4183046063 Reassigns benefits to 1 organization
I20200623001170 NJ Practitioner - Orthopedic Surgery 4183046063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians
Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

Practice addresses (Care Compare)

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion102
Laminectomy or laminotomy (partial removal of spine bones)32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MA10763300NJMDOrthopaedic Surgery Physician
MD469339PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Aug 1, 2020 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

100 K Johnson Blvd
Ste 202
Bordentown, NJ 08505

999 Route 73 N
Ste 401
Marlton, NJ 08053

116 Washington Crossing Rd
Pennington, NJ 08534
Phone (267) 339-7843

1079 White Horse Mercerville Rd
Trenton, NJ 08610
Phone (973) 747-7311

101 Pheasant Run
Newtown, PA 18940

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1235558362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-592-6191",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON N. BLVD STE 202",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1079 Whitehorse-Mercerville Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton Township",
            "state": "NJ",
            "postal_code": "086101424",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Washington Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342514",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANSECO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "M.D./PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD469339",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA10763300",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA10763300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.