Active NPI
Orthomd LLC
- Orthopaedic Surgery Physician
- Fort Lee, NJ
National Provider Identifier
1619757366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Yang, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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, NJ
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
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.