Organization Active NPI

Pediatric Orthopedic Associates, P.a.

  • Orthopaedic Surgery Physician
  • East Brunswick, NJ
National Provider Identifier
1528017654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PEDIATRIC ORTHOPEDIC ASSOCIATES, P.A.
Practice address
585 Cranbury Rd
East Brunswick, NJ 08816-4026
Phone
(732) 390-1160
Fax
(732) 390-8449
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Justine J. Tartaglia, MBA
Title
Practice Administrator
Phone
(732) 390-1160

Specialties & licenses 1

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

Addresses

Primary practice location

585 Cranbury Rd
East Brunswick, NJ 08816-4026

Mailing address

585 Cranbury Rd
East Brunswick, NJ 08816-4026
Phone (732) 390-1160

Other identifiers 1

IdentifierTypeStateIssuer
3095703MedicaidNJ

National Provider Directory

National Provider Directory

Locations

585 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-1160

585 Cranbury Rd
Ste A
East Brunswick, NJ 08816
Phone (732) 390-1160

3700 State Route 33
Ste A2ND
Neptune, NJ 07753

3700 State Route 33
Ste A
Neptune, NJ 07753

3700 State Route 33
Ste A
Neptune, NJ 07753
Phone (732) 204-8293

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528017654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164026",
            "telephone_number": "732-390-1160",
            "fax_number": "732-390-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164026",
            "telephone_number": "732-390-1160",
            "fax_number": "732-390-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ORTHOPEDIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARTAGLIA",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-390-1160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.