Van Grouw Orthopaedic Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB05590500 Issued in NJ

Legal business name

VAN GROUW ORTHOPAEDIC ASSOCIATES, PA

Practice address

44 Godwin Ave
Suite 200
Midland Park, NJ 07432-1969

Phone

(201) 444-5770

Fax

(201) 444-3746

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Brian Van Grouw, MD

Title

Delegated Official

Phone

(201) 444-5770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1669663399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "address_2": "SUITE 200",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-444-5770",
            "fax_number": "201-444-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "address_2": "SUITE 200",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-444-5770",
            "fax_number": "201-444-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN GROUW ORTHOPAEDIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "VAN GROUW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "201-444-5770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB05590500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR GROUP #",
            "identifier": "CD5410",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.