Hunterdon Orthopedic Institute PA
Organization Active NPI Orthopaedic Surgery Physician · Flemington, NJ
NPI 1619952595 · NPPES record last updated Jan 5, 2016
Key facts
- NPI
- 1619952595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- HUNTERDON ORTHOPEDIC INSTITUTE PA
- Practice address
- 8100 Wescott Drive
Suite 101
Flemington, NJ 08822-4671 - Phone
- (908) 782-0600
- Fax
- (908) 782-7575
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Patrick M Collalto, MD
- Title
- President
- Phone
- (908) 782-0600
Practitioners 42
-
Suneel K Basra, D.P.M.
-
Scott Thomas Bleazey, DPM
-
Richard Chang, MD
-
Keith M Crivello, MD
-
Eric Michael Gordon, M.D.
-
George Gorgy, MD
-
Shannon Perez, NP
-
Aleya Salam, MD
-
Ali Ahsen Shah, M.D.
-
Thomas A St John, M.D.
-
Daniel Torino, M.D.
-
Patrick Wang, M.D.
-
Heather S Bucey, PA
-
Mary Contiliano, PA
-
Philip Justin Glassner, M.D.
-
Yanli Sun, P.A.-C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000035 | NJ | Part B Supplier - Clinic/Group Practice | 7012820574 |
Receives reassigned benefits from 39 practitioners Practice locations: Flemington, NJ; Washington, NJ |
| O20100930047612 | NJ | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 7012820574 | Practice locations: Flemington, NJ |
National Provider Directory
Locations
1322 Route 31 N
Annandale, NJ 08801
Phone (908) 894-7222
8100 Wescott Dr
Ste 102
Flemington, NJ 08822
Phone (908) 782-0600
8100 Wescott Dr
Ste 101
Flemington, NJ 08822
Phone (908) 782-0600
8100 Wescott Dr
Flemington, NJ 08822
Phone (908) 782-0600
6 Club House Dr
Ste 202
Washington, NJ 07882
Phone (908) 735-3980
1 Hawk Pointe Blvd
Ste D
Washington, NJ 07882
Phone (908) 782-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
8100 Wescott Drive
Suite 101
Flemington, NJ 08822-4671
Mailing address
8100 Wescott Drive
Suite 101
Flemington, NJ 08822-4671
Phone (908) 782-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB4199 | Other | NJ | RAILROAD MEDICARE |
| 0671900001 | Other | NJ | NSC |
Other names
- MidJersey Orthopaedics
NPI Registry JSON
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451952000000",
"number": "1619952595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 WESCOTT DRIVE",
"address_2": "SUITE 101",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224671",
"telephone_number": "908-782-0600",
"fax_number": "908-782-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 WESCOTT DRIVE",
"address_2": "SUITE 101",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224671",
"telephone_number": "908-782-0600",
"fax_number": "908-782-7575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERDON ORTHOPEDIC INSTITUTE PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2016-01-05",
"status": "A",
"authorized_official_last_name": "COLLALTO",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-782-0600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB4199",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "0671900001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MidJersey Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flemington, NJ
- Hunterdon Medical Center
- Hunterdon Medical Center
- Hunterdon Medical Center
- Hunterdon Oral and Maxillofacial Surgical Specialists
- Hunterdon Oral Surgery Associates, PA
- Hunterdon Otolaryngology Associates
- Hunterdon Pathology Services,PA
- Hunterdon Prevention Resources
- Hunterdon Primary Care PC
- Hunterdon Primary Care PC
All providers in Flemington, NJ · Orthopaedic Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.