Organization Active NPI

High Mountain Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Wayne, NJ
National Provider Identifier
1548635295
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HIGH MOUNTAIN ORTHOPEDICS LLC
Practice address
342 Hamburg Tpke
Suite 205
Wayne, NJ 07470-2162
Phone
(973) 595-7779
Fax
(973) 595-0182
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Mrs. Sheri P Matarese
Title
Coo
Phone
(973) 595-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

342 Hamburg Tpke
Suite 205
Wayne, NJ 07470-2162

Mailing address

342 Hamburg Tpke
Suite 205
Wayne, NJ 07470-2162
Phone (973) 595-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160212000101 NJ Part B Supplier - Clinic/Group Practice 4183928195 Receives reassigned benefits from 5 practitioners
Practice locations: Wayne, NJ
O20161007001717 NJ DME Supplier - Physician - General Practice 4183928195 Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

342 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 595-7779

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIFDD

Practitioners & affiliated clinicians

Practitioners 5

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": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1548635295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 205",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-595-7779",
            "fax_number": "973-595-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 205",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-595-7779",
            "fax_number": "973-595-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH MOUNTAIN ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "MATARESE",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "973-595-7779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.