Organization Active NPI

Orthopaedic & Joint Reconstruction Surgical Associates PA

  • Orthopaedic Surgery Physician
  • Livingston, NJ
National Provider Identifier
1508974338
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC & JOINT RECONSTRUCTION SURGICAL ASSOCIATES PA
Practice address
22 Old Short Hills Road
Suite 102
Livingston, NJ 07039
Phone
(973) 533-1050
Fax
(973) 533-1235
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Frederick James Gordon, MD
Title
President
Phone
(973) 533-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

22 Old Short Hills Road
Suite 102
Livingston, NJ 07039

Mailing address

22 Old Short Hills Road
Suite 102
Livingston, NJ 07039
Phone (973) 533-1050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000380 NJ Part B Supplier - Clinic/Group Practice 0749315711 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ

National Provider Directory

National Provider Directory

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1508974338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 102",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-533-1050",
            "fax_number": "973-533-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 102",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-533-1050",
            "fax_number": "973-533-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & JOINT RECONSTRUCTION SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-533-1050",
        "authorized_official_credential": "MD"
    },
    "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 Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.