Garden State Orthopaedic Assoc, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05941700 Issued in NJ

Legal business name

GARDEN STATE ORTHOPAEDIC ASSOC, PA

Practice address

28-04 Broadway
Fair Lawn, NJ 07410-3913

Phone

(201) 791-4434

Fax

(201) 791-9377

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Alex Rothschild

Title

Administrator

Phone

(201) 791-4434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1245629856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434",
            "fax_number": "201-791-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434",
            "fax_number": "201-791-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ORTHOPAEDIC ASSOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "ROTHSCHILD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-791-4434",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05941700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Gallo, PHYSICIAN ASSISTANT
• Galope Medical Group Inc
• Emelyn Galvez
• Michael Anthony Garcia
• Garden Pharmacy Inc
• Garden State Orthopaedic Assocaites, P.a.
• Garden State Orthopaedic Associates, P.a. (Garden State Orthopaedic Assoc, PA)
• Garden State Orthopaedic Associates, P.a.
• Garden State Surgical Center, LLC
• Gary S Borer PC

• Specialist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.