Organization Active NPI

Andover Orthopaedic Surgery & Sports Medicine, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newton, NJ
National Provider Identifier
1669415287
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ANDOVER ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PA
Practice address
280 Newton Sparta Rd
Suite 4
Newton, NJ 07860
Phone
(973) 579-7443
Fax
(973) 579-7218
NPI assigned
Jun 13, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robin Bacaloglu
Title
Billing Manager
Phone
(973) 579-7443

National Provider Directory

National Provider Directory

Locations

280 Newton Sparta Rd
Ste 8
Newton, NJ 07860
Phone (973) 579-2957

280 Newton Sparta Rd
Ste 6
Newton, NJ 07860

1592 Route 739
Dingmans Fry, PA 18328
Phone (570) 828-1900

103 Spruce St
#201
Hawley, PA 18428
Phone (570) 390-4545

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

NPPES NPI Registry

Primary practice location

280 Newton Sparta Rd
Suite 4
Newton, NJ 07860

Mailing address

280 Newton Sparta Rd
Suite 4
Newton, NJ 07860
Phone (973) 579-7443

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2012.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1669415287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD",
            "address_2": "SUITE 4",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-579-7443",
            "fax_number": "973-579-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD",
            "address_2": "SUITE 4",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-579-7443",
            "fax_number": "973-579-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "BACALOGLU",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-579-7443"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.