Organization Active NPI

Orthopedic Associates of Central Jersey PA

  • Orthopaedic Surgery Physician
  • Edison, NJ
National Provider Identifier
1386767127
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA
Practice address
205 May St
Suite 202
Edison, NJ 08837
Phone
(908) 757-1520
Fax
(908) 769-1388
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mrs. Catherine A McDonald
Title
Office Manager
Phone
(908) 757-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

205 May St
Suite 202
Edison, NJ 08837

Mailing address

205 May St
Suite 202
Edison, NJ 08837
Phone (908) 757-1520

Other identifiers 2

IdentifierTypeStateIssuer
7552700MedicaidNJ
C18936OtherNJRAILROAD MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031113000025 NJ Part B Supplier - Clinic/Group Practice 7719891936 Receives reassigned benefits from 3 practitioners
Practice locations: Edison, NJ; Old Bridge, NJ
O20120518000065 NJ DME Supplier - Physician - Unknown Physician Specialty 7719891936 Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

205 May St
Ste 205
Edison, NJ 08837

205 May St
Ste 202
Edison, NJ 08837
Phone (732) 416-8800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1386767127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAY ST",
            "address_2": "SUITE 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "908-757-1520",
            "fax_number": "908-769-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAY ST",
            "address_2": "SUITE 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "908-757-1520",
            "fax_number": "908-769-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-757-1520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7552700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C18936",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.