Active NPI
Evidence Based Surgery, LLC
- Orthopaedic Surgery Physician
- Clifton, NJ
National Provider Identifier
1508535816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- EVIDENCE BASED SURGERY, LLC
- Practice address
- 1100 Clifton Ave
Clifton, NJ 07013-3631 - Phone
- (973) 778-0100
- NPI assigned
- Sep 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vasileios Kostaras, M.D.
- Title
- President
- Phone
- (908) 490-0036
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1100 Clifton Ave
Clifton, NJ 07013-3631
Mailing address
45 S Park PL # 354
Morristown, NJ 07960-3924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Stony Brook, NY
- NPI 1144487968
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1508535816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 S PARK PL # 354",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133631",
"telephone_number": "973-778-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVIDENCE BASED SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "KOSTARAS",
"authorized_official_first_name": "VASILEIOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-490-0036",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"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 Sep 9, 2021; 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.