Orthopedic & Sports Medicine of North Jersey

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDIC & SPORTS MEDICINE OF NORTH JERSEY

Practice address

1136 Clifton Avenue
Clifton, NJ 07013

Phone

(973) 777-1677

Fax

(973) 773-1553

NPI assigned

Jun 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Mittelmann, MD

Title

President

Phone

(973) 777-1677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• North Jersey Sports Medicine & Orthopedic Center, LLC

  dba The Orthopedic Institute of NJ

  • Specialist
  • Randolph, NJ
  • NPI 1013342609
  NPPES parent name
• North Jersey Sports Medicine & Orthopedic Center, LLC

  dba The Orthopedic Institute Of NJ

  • Specialist
  • Sparta, NJ
  • NPI 1386079978
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Kraut, MD

  • Orthopaedic Surgery Physician
  • Clifton, NJ
  • NPI 1245267079
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255368072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLIFTON AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-777-1677",
            "fax_number": "973-773-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLIFTON AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-777-1677",
            "fax_number": "973-773-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS MEDICINE OF NORTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTELMANN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-777-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3191109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimus Medical LLC
• Oradell Anesthesia Associates LLC
• John Paul Organista, PT
• Ortho Dental Specialists LLC
• Orthopaedic Associates PA
• Yesenia Maris Ortiz-Umar, BCBA
• Douglas S Ortiz Jr.
• Jacqueline Ortiz, LAMFT
• Stacy-Ann Osomode
• Ospt of Clifton LLC

• Orthopaedic Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• 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.