Organization Active NPI

NJ Ortho Group

  • Medical Specialty Clinic/Center
  • Eatontown, NJ
National Provider Identifier
1407246945
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0400359999 Issued in NJ
Legal business name
NJ ORTHO GROUP
Practice address
234 Industrial Way W
Suite A200
Eatontown, NJ 07724-4244
Phone
(732) 542-6000
Fax
(732) 542-6001
NPI assigned
Feb 4, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Gordon Duthie Donald III, M.D.NPI 1912936162
Title
Managing Member
Phone
(732) 542-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0400359999 NJ Primary

Addresses

Primary practice location

234 Industrial Way W
Suite A200
Eatontown, NJ 07724-4244

Mailing address

234 Industrial Way W
Suite A200
Eatontown, NJ 07724-4244
Phone (732) 542-6000

National Provider Directory

National Provider Directory

Locations

12 Christopher Way
Ste 200
Eatontown, NJ 07724
Phone (732) 747-7110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11224/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1407246945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W",
            "address_2": "SUITE A200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244244",
            "telephone_number": "732-542-6000",
            "fax_number": "732-542-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W",
            "address_2": "SUITE A200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244244",
            "telephone_number": "732-542-6000",
            "fax_number": "732-542-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ORTHO GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "DUTHIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-542-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "0400359999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.