Active Orthopedics & Sports Medicine LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ACTIVE ORTHOPEDICS & SPORTS MEDICINE LLC

Practice address

440 Old Hook Rd
Emerson, NJ 07630-2302

Phone

(201) 358-0707

Fax

(201) 358-9777

NPI assigned

Jan 26, 2016

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1366809063",
    "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": "440 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076302302",
            "telephone_number": "201-358-0707",
            "fax_number": "201-358-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ORTHOPEDICS & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Abanes, NP
• Jessica Abreu, APN RESIDENT, PMHNP
• Advanced Medical Imaging of North Jersey, LLC
• Advancing Opportunities, Inc.
• Affinity Home Care Services
• Jacqueline Ahrens, SLPD
• Amy G Ali, M.D.

• All providers in Emerson, NJ
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.