NPIMap

Organization Active NPI

New York Metropolitan Orthopaedics and Spine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • North Bergen, NJ
National Provider Identifier
1326714148
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
NEW YORK METROPOLITAN ORTHOPAEDICS AND SPINE, LLC
Practice address
9226 Kennedy Blvd
North Bergen, NJ 07047-6585
Phone
(201) 308-6622
NPI assigned
Aug 20, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
David Kovacevic, MDNPI 1841463122
Title
MD/Owner
Phone
(203) 308-6622

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
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

9226 Kennedy Blvd
North Bergen, NJ 07047-6585

Mailing address

40 Dover St
Brooklyn, NY 11235-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210920001212 NJ Part B Supplier - Clinic/Group Practice 6305243270 Receives reassigned benefits from 1 practitioner
Practice locations: North Bergen, NJ
O20210930000292 NY Part B Supplier - Clinic/Group Practice 6305243270 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
New York Metropolitan Orthopaedics and S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

143 W 29th St
Fl 5
New York, NY 10001
Phone (646) 650-2229

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1326714148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DOVER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476585",
            "telephone_number": "201-308-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK METROPOLITAN ORTHOPAEDICS AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "KOVACEVIC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "203-308-6622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.