North Jersey Sports Medicine and Orthopedic Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB06971100 Issued in NJ

Legal business name

NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC

Practice address

222 High St
Suite 202
Newton, NJ 07860

Phone

(908) 684-3005

Fax

(908) 684-3301

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Defalco Jr., DO

Title

Physician/Owner

Phone

(908) 684-3005

Specialties & licenses 2

Addresses

Other names 1

• The Orthopedic Institute of NJ Doing business as

Locations

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1265862635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BILBY RD",
            "address_2": "SUITE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-684-3005",
            "fax_number": "908-684-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "address_2": "SUITE 202",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "908-684-3005",
            "fax_number": "908-684-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "DEFALCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "908-684-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB06971100",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB06992500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthopedic Institute of NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hadley Noble, LCSW
• Ronda Norcross, CPRS
• North Jersey Center for Surgery PA
• North Jersey Integrated Medical PC
• North Jersey Pain Management Center
• Northern N.J. Endoscopy Center, L.L.C.
• Nume Med Spa
• Jessica O'Brien
• Conner Michael O'Keefe, MD
• Carson Donnelly O'Neill

• Specialist in Newton, NJ
• Providers in Newton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.