Organization Active NPI

East Coast Orthopaedic & Sports Medicine,LLC

  • Orthopaedic Surgery Physician
  • Manahqwkin, NJ
National Provider Identifier
1245317346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
EAST COAST ORTHOPAEDIC & SPORTS MEDICINE,LLC
Practice address
Medical Arts Pavilion
RT 72 West #306
Manahqwkin, NJ 08050
Phone
(609) 748-2922
Fax
(609) 748-2911
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond Weiand, DO
Title
Partner
Phone
(609) 748-2922

Specialties & licenses 1

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

Addresses

Primary practice location

Medical Arts Pavilion
RT 72 West #306
Manahqwkin, NJ 08050

Mailing address

44 E Jimmie Leeds Rd
Suite 102
Galloway, NJ 08205-9599
Phone (609) 748-2922

National Provider Directory

National Provider Directory
Tax ID family
East Coast Orthopaedic Sports Medicinellc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245317346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E JIMMIE LEEDS RD",
            "address_2": "SUITE 102",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059599",
            "telephone_number": "609-748-2922",
            "fax_number": "609-748-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL ARTS PAVILION",
            "address_2": "RT 72 WEST #306",
            "city": "MANAHQWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-748-2922",
            "fax_number": "609-748-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ORTHOPAEDIC & SPORTS MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIAND",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-748-2922",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.