Active NPI
Orthopaedic Sports Medicine and Rehabilitation Center, LLC
- Orthopaedic Surgery Physician
- Holmdel, NJ
National Provider Identifier
1609331693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC
- Practice address
- 735 N Beers St
Holmdel, NJ 07733-1515 - Phone
- (732) 741-2313
- Fax
- (732) 219-7655
- NPI assigned
- Feb 5, 2019
- Last updated
- Jan 6, 2025
- 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. Steven P Lisser
- Title
- President
- Phone
- (732) 741-2313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
735 N Beers St
Holmdel, NJ 07733-1515
Mailing address
80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 741-2313
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, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Red Bank, NJ
- NPI 1528039773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1609331693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 OAK HILL RD",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015727",
"telephone_number": "732-741-2313",
"fax_number": "732-219-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331515",
"telephone_number": "732-741-2313",
"fax_number": "732-219-7655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-05",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "LISSER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-741-2313",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.