Organization Active NPI

Orthopaedic and Sports Specialists, PC

  • Specialist
  • Atco, NJ
National Provider Identifier
1609898691
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA46475 Issued in NJ
Legal business name
ORTHOPAEDIC AND SPORTS SPECIALISTS, PC
Practice address
289 White Horse Pike
Ste 101
Atco, NJ 08004-2257
Phone
(856) 809-9001
Fax
(856) 809-9003
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Rhonda Romero
Title
Office MGR.
Phone
(856) 809-9001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA46475 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

289 White Horse Pike
Ste 101
Atco, NJ 08004-2257

Mailing address

798 S Route 73
West Berlin, NJ 08091-2620
Phone (856) 809-9001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060824000177 NJ Part B Supplier - Clinic/Group Practice 3577566991 Receives reassigned benefits from 1 practitioner
Practice locations: West Berlin, NJ

National Provider Directory

National Provider Directory

Locations

798 S Route 73
West Berlin, NJ 08091
Phone (856) 767-3337

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1609898691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 S ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912620",
            "telephone_number": "856-809-9001",
            "fax_number": "856-809-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WHITE HORSE PIKE",
            "address_2": "STE 101",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042257",
            "telephone_number": "856-809-9001",
            "fax_number": "856-809-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC AND SPORTS SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "856-809-9001"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA46475",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atco, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.