Organization Active NPI

Orthopaedic & Spine Center of New Jersey

  • Orthopaedic Surgery of the Spine Physician
  • Warren, NJ
National Provider Identifier
1447529839
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MA060113 Issued in NJ
Legal business name
ORTHOPAEDIC & SPINE CENTER OF NEW JERSEY
Practice address
45 Mountain Blvd
BLDG D, Suite 2
Warren, NJ 07059-2635
Phone
(908) 822-9282
Fax
(908) 822-9201
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Kevin A McCracken, M.D.NPI 1013944586
Title
President
Phone
(908) 822-9282

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 of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X MA060113 NJ Primary

Addresses

Primary practice location

45 Mountain Blvd
BLDG D, Suite 2
Warren, NJ 07059-2635

Mailing address

45 Mountain Blvd
BLDG D, Suite 2
Warren, NJ 07059-2635
Phone (908) 822-9282

National Provider Directory

National Provider Directory

Locations

45 Mountain Blvd
Ste D
Warren, NJ 07059
Phone (908) 822-9282

Practitioners & affiliated clinicians

Practitioners 1

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": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1447529839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MOUNTAIN BLVD",
            "address_2": "BLDG D, SUITE 2",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592635",
            "telephone_number": "908-822-9282",
            "fax_number": "908-822-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOUNTAIN BLVD",
            "address_2": "BLDG D, SUITE 2",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592635",
            "telephone_number": "908-822-9282",
            "fax_number": "908-822-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPINE CENTER OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-822-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "MA060113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.