Active Orthopaedics and Sports Medicine, PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

25MA5362900 Issued in NJ

Legal business name

ACTIVE ORTHOPAEDICS AND SPORTS MEDICINE, PA

Practice address

25 Prospect Ave
Hackensack, NJ 07601-1960

Phone

(201) 343-2277

Fax

(201) 343-7410

NPI assigned

May 23, 2006

Last updated

Dec 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Lee Gross, M.D.NPI 1396712337

Title

President/Owner

Phone

(201) 358-0707

Specialties & licenses 2

Addresses

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.

• Michael L. Gross, M.D.

  • Orthopaedic Surgery Physician
  • Hackensack, NJ
  • NPI 1396712337
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1659326569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752616",
            "telephone_number": "201-358-0707",
            "fax_number": "201-358-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011960",
            "telephone_number": "201-343-2277",
            "fax_number": "201-343-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ORTHOPAEDICS AND SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-358-0707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA5362900",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA08256500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Acoury, MD
• Acousticon Haskill Inc (Haskill Hearing Aid Center)
• Acousticon Haskill Inc. (Haskill Hearing Aid Center)
• Joseph F Acquaviva, M.D.
• Active Center for Health and Wellness
• Active Orthopedic Specialists, LLC
• Active Orthopedics & Sports Medicine LLC
• Active Orthopedics and Sports Medicine, LLC
• Charles Andrew Adams Jr., MD
• Lawrence George Adelsohn, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.