Organization Active NPI

Orthomd LLC

  • Orthopaedic Surgery Physician
  • Fort Lee, NJ
National Provider Identifier
1619757366
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOMD LLC
Practice address
2175 Lemoine Ave Ste 401a
Fort Lee, NJ 07024-6019
Phone
(917) 242-4585
Fax
(917) 242-4585
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Authorized official

Name
Andrew Yang, MDNPI 1629463690
Title
President
Phone
(734) 355-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2175 Lemoine Ave Ste 401a
Fort Lee, NJ 07024-6019

Mailing address

2175 Lemoine Ave Ste 401a
Fort Lee, NJ 07024-6019
Phone (917) 242-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20231108001318 NY Part B Supplier - Clinic/Group Practice 0941657258 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY
O20240815002765 NJ Part B Supplier - Clinic/Group Practice 0941657258 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ
O20250314001736 NJ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0941657258 Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

2175 Lemoine Ave
Ste 401A
Fort Lee, NJ 07024
Phone (917) 242-4585

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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723334400000",
    "number": "1619757366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE STE 401A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246019",
            "telephone_number": "917-242-4585",
            "fax_number": "917-993-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE STE 401A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246019",
            "telephone_number": "917-242-4585",
            "fax_number": "917-242-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-355-1166",
        "authorized_official_credential": "MD"
    },
    "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 Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.