NPIMap

Organization Active NPI

Tri-County Orthopaedic & Sports Medicine PA

Doing business as Tri-County Orthopedics

  • Specialist
  • Cedar Knolls, NJ
National Provider Identifier
1447213962
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04208000 Issued in NJ
Legal business name
TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE PA
Doing business as
Tri-County Orthopedics
Practice address
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Phone
(973) 538-2334
NPI assigned
Apr 7, 2006
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Mark J. McBride, MDNPI 1609967710
Title
Director
Phone
(973) 538-2334

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Specialist 174400000X 25MA04208000 NJ Primary
Orthopaedic Surgery Physician 207X00000X

Addresses

Primary practice location

197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111

Mailing address

PO Box 1446
Morristown, NJ 07962-1446
Phone (973) 538-2334

Other identifiers 1

IdentifierTypeStateIssuer
1133306MedicaidNJ

Other names 1

  • Tri-County Orthopedics Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000295 NJ Part B Supplier - Clinic/Group Practice 7416840491 Receives reassigned benefits from 59 practitioners
Practice locations: Bedminster, NJ; Bridgewater, NJ; Cedar Knolls, NJ; Lake Hopatcong, NJ; Livingston, NJ; Springfield, NJ
O20220120002012 NJ DME Supplier - Physician - General Practice 7416840491 Practice locations: Cedar Knolls, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2086314Tri-County Orthopaedic & Sports Medicine, PA197 Ridgedale Ave, Cedar Knolls, NJ 07927Certificate of waiverOct 30, 2026
31D2202612Tri-County Orthopedics & Sports Medicine197 Ridgedale Avenue Suite 220, Cedar Knolls, NJ 07927Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory
Part of
Tricounty Orthopaedic Sport

Locations

757 State Route 15 S
Ste 105
Lake Hopatcong, NJ 07849

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912

Practitioners & affiliated clinicians

Practitioners 67

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 67

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1447213962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621446",
            "telephone_number": "973-538-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272111",
            "telephone_number": "973-538-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-538-2334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04208000",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-County Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.