Organization Active NPI

Passaic County Orthopaedic Associates LLC

  • Orthopaedic Surgery Physician
  • Clifton, NJ
National Provider Identifier
1477723641
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA058929 Issued in NJ
Legal business name
PASSAIC COUNTY ORTHOPAEDIC ASSOCIATES LLC
Practice address
1011 Clifton Ave
Clifton, NJ 07013-3518
Phone
(973) 458-0772
Fax
(973) 458-0864
NPI assigned
Mar 4, 2008
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Robert Lionel Hole III, M.D.NPI 1982795241
Title
President
Phone
(973) 458-0772

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 Physician 207X00000X MA058929 NJ Primary

Addresses

Primary practice location

1011 Clifton Ave
Clifton, NJ 07013-3518

Mailing address

1360 Clifton Ave
Suite #96
Clifton, NJ 07012-1343
Phone (973) 458-0772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080416000254 NJ Part B Supplier - Clinic/Group Practice 3274507538 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

1011 Clifton Ave
Ste 16
Clifton, NJ 07013

Practitioners & affiliated clinicians

Practitioners 1

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1477723641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE",
            "address_2": "SUITE #96",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121343",
            "telephone_number": "973-458-0772",
            "fax_number": "973-458-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133518",
            "telephone_number": "973-458-0772",
            "fax_number": "973-458-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC COUNTY ORTHOPAEDIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "HOLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-458-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA058929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.