Organization Active NPI

Lall Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Paramus, NJ
National Provider Identifier
1407588569
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LALL ORTHOPEDICS LLC
Practice address
140 N State RT 17
Ste 321
Paramus, NJ 07652-2817
Phone
(201) 733-5255
Fax
(201) 877-1453
NPI assigned
Jun 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Ajay C. Lall, MD, MSNPI 1639451214
Title
President & Ceo
Phone
(201) 733-5255

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

140 N State RT 17
Ste 321
Paramus, NJ 07652-2817

Mailing address

140 N State RT 17
Ste 321
Paramus, NJ 07652-2817
Phone (201) 733-5255

Other practice location 1

303 Andrews Dr Ste 107
Belvidere, IL 61008-3918
Phone (201) 733-5255

Other practice location 2

1200 Constitution Ave
Ste 110
Philadelphia, PA 19112-1323
Phone (201) 733-5255

Other practice location 3

725 Orchard Park Rd
Ste A
West Seneca, NY 14224
Phone (201) 733-5255

Other practice location 4

7500 Estero Blvd
Ste 602
Fort Myers Beach, FL 33931-4928
Phone (201) 733-5255

Other identifiers 1

IdentifierTypeStateIssuer
F400408826MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004000030 NJ Part B Supplier - Clinic/Group Practice 0749666410 Receives reassigned benefits from 5 practitioners
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

11030 Rca Center Dr
Ste 2004
Palm Beach Gardens, FL 33410

303 Andrews Dr
Ste 107
Belvidere, IL 61008
Phone (201) 733-5255

140 N State Rt 17
Ste 321
Paramus, NJ 07652
Phone (201) 225-9700

Practitioners & affiliated clinicians

Practitioners 9

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": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1407588569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N STATE RT 17",
            "address_2": "STE 321",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522817",
            "telephone_number": "201-733-5255",
            "fax_number": "201-877-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N STATE RT 17",
            "address_2": "STE 321",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522817",
            "telephone_number": "201-733-5255",
            "fax_number": "201-877-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Andrews Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Belvidere",
            "state": "IL",
            "postal_code": "610083918",
            "country_code": "US",
            "telephone_number": "201-733-5255",
            "fax_number": "201-877-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Constitution Ave",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121323",
            "country_code": "US",
            "telephone_number": "201-733-5255",
            "fax_number": "201-877-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Orchard Park Rd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "14224",
            "country_code": "US",
            "telephone_number": "201-733-5255",
            "fax_number": "201-877-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Estero Blvd",
            "address_2": "Ste 602",
            "address_purpose": "LOCATION",
            "city": "Fort Myers Beach",
            "state": "FL",
            "postal_code": "339314928",
            "country_code": "US",
            "telephone_number": "201-733-5255",
            "fax_number": "201-877-1453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LALL ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-04-30",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "LALL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "201-733-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F400408826",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.