Active Orthopedics & Sports Medicine LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ACTIVE ORTHOPEDICS & SPORTS MEDICINE LLC

Practice address

67 Broadway
Elmwood Park, NJ 07407-1836

Phone

(201) 343-2277

Fax

(201) 343-7410

NPI assigned

Jan 27, 2016

Last updated

Jan 27, 2016By 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

Lisamarie Volino

Title

VP Business Operations

Phone

(201) 343-2277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1285091728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076302302",
            "telephone_number": "201-358-0707",
            "fax_number": "201-358-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BROADWAY",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071836",
            "telephone_number": "201-343-2277",
            "fax_number": "201-343-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ORTHOPEDICS & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "VOLINO",
        "authorized_official_first_name": "LISAMARIE",
        "authorized_official_title_or_position": "VP BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "201-343-2277"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Elmwood Park, NJ
• Providers in Elmwood Park, 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 Jan 27, 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.