Organization Active NPI

JG Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Novi, MI
National Provider Identifier
1669131603
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JG ORTHOPEDICS
Practice address
25500 Meadowbrook Rd Ste 275D
Novi, MI 48375-1878
Phone
(248) 516-3519
NPI assigned
Dec 16, 2021
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
John Gorski, MDNPI 1194088088
Title
Owner
Phone
(248) 941-3424

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

25500 Meadowbrook Rd Ste 275D
Novi, MI 48375-1878

Mailing address

3732 Newport Way Dr
Waterford, MI 48329-4285
Phone (248) 941-3424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260403000106 MI DME Supplier - Physician - Hand Surgery 0042795445 Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Locations

25500 Meadowbrook Rd
Ste 275D
Novi, MI 48375
Phone (248) 516-3519

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1669131603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 NEWPORT WAY DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294285",
            "telephone_number": "248-941-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 275D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-516-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-04-19",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "GORSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-941-3424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.