NPIMap

Organization Active NPI

Modern Orthopaedics of New Jersey

  • Orthopaedic Hand Surgery Physician
  • Wayne, NJ
National Provider Identifier
1275170797
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
MODERN ORTHOPAEDICS OF NEW JERSEY
Practice address
2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250
Phone
(973) 898-5999
NPI assigned
Dec 3, 2019
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Dr. Peter Hart Denoble, MDNPI 1285947689
Title
Manager
Phone
(973) 898-5999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X Primary

Addresses

Primary practice location

2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250

Mailing address

PO Box 4239
Wayne, NJ 07474-4239
Phone (201) 572-7982

Other practice location 1

1 W Ridgewood Ave Ste 302
Paramus, NJ 07652-2361
Phone (973) 898-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200203001572 NJ Part B Supplier - Clinic/Group Practice 2860828241 Receives reassigned benefits from 12 practitioners
Practice locations: Paramus, NJ; Wayne, NJ
O20200603000459 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2860828241 Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

1 W Ridgewood Ave
Ste 302
Paramus, NJ 07652
Phone (201) 251-6622

2025 Hamburg Tpke
Ste C
Wayne, NJ 07470
Phone (201) 572-7982

1501 Hamburg Tpke
Wayne, NJ 07470
Phone (862) 684-8484

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1275170797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4239",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744239",
            "telephone_number": "201-572-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706250",
            "telephone_number": "973-898-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Ridgewood Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522361",
            "country_code": "US",
            "telephone_number": "973-898-5999",
            "fax_number": "973-831-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN ORTHOPAEDICS OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "DENOBLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-898-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.