Orthopaedic Associates of Fair Lawn, LLC

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

25MA06309600 Issued in NJ

Legal business name

ORTHOPAEDIC ASSOCIATES OF FAIR LAWN, LLC

Practice address

85 Harristown Rd
Suite 103
Glen Rock, NJ 07452-3329

Phone

(844) 366-8800

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Bryan Massoud, MD

Title

President

Phone

(844) 366-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1275940306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 103",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523329",
            "telephone_number": "844-366-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 103",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523329",
            "telephone_number": "844-366-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF FAIR LAWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "MASSOUD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-366-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NJ",
            "license": "25MA06309600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane O'Rourke, APN
• Oasis Medical and Surgical Wellness Group LLC
• Spencer Louis Ochner, PA-C
• Opticians of Glen Rock
• Optimal Care Surgical Services
• Orthopedic Associates of New Jersey
• Lyndsay Joan Pace, LSW
• Mayuri Ashok Panchal
• Virahi Parikh
• Sool Lip Park

• Orthopaedic Trauma Physician in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Orthopaedic Trauma Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.