Organization Active NPI

Orthopedic NJ Rehab PA

  • Specialist
  • South Amboy, NJ
National Provider Identifier
1265717714
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05746900 Issued in NJ
Legal business name
ORTHOPEDIC NJ REHAB PA
Practice address
979 US Highway 9
South Amboy, NJ 08879-3302
Phone
(732) 721-7700
Fax
(732) 721-2300
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Guillermo Gutierrez, M.D.
Title
Doctor
Phone
(732) 721-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA05746900 NJ Primary

Addresses

Primary practice location

979 US Highway 9
South Amboy, NJ 08879-3302

Mailing address

979 US Highway 9
South Amboy, NJ 08879-3302
Phone (732) 721-7700

National Provider Directory

National Provider Directory

Locations

979 US Highway 9
South Amboy, NJ 08879
Phone (732) 721-7700

Practitioners & affiliated clinicians

Practitioners 1

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": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1265717714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 US HIGHWAY 9",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793302",
            "telephone_number": "732-721-7700",
            "fax_number": "732-721-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 US HIGHWAY 9",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793302",
            "telephone_number": "732-721-7700",
            "fax_number": "732-721-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC NJ REHAB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-721-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05746900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.