Active NPI
Pediatric Orthopedic Associates, P.a.
- Orthopaedic Surgery Physician
- East Brunswick, NJ
National Provider Identifier
1528017654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3095703 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Orthopaedic Surgery Physician
- East Brunswick, NJ
- NPI 1770688137
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.