Orthopaedic & Sports Medicine Specialists,Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07887100 Issued in NJ

Legal business name

ORTHOPAEDIC & SPORTS MEDICINE SPECIALISTS,INC

Practice address

719 N Beers St
Suite C1
Holmdel, NJ 07733-1522

Phone

(732) 888-2100

Fax

(732) 888-2188

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

David V Lopez, M.D.NPI 1629021399

Title

Owner

Phone

(732) 888-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Orthopaedic Sports Med Spe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopaedic and Sports Medicine Specialists, Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Holmdel, NJ
  • NPI 1679637052
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David V Lopez, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Little Silver, NJ
  • NPI 1629021399

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679599153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330549",
            "telephone_number": "732-888-2100",
            "fax_number": "732-888-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE C1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-888-2100",
            "fax_number": "732-888-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPORTS MEDICINE SPECIALISTS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-888-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07887100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082295",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ifeoma Judith Oguagha, APN
• Ryan Oliveira, ATC
• Moyosore Oluleye, MD
• Onsite Lifecare, Inc.
• Ophthalmic Physicians of Monmouth PA
• Orthopaedic and Sports Medicine Specialists, Inc
• Orthopaedic Sports Medicine and Rehabilitation Center, LLC
• Frank Ortolano, DDS
• Jean A Otrakji, M.D.
• Jeniffer Jenn Paez, DMD

• All providers in Holmdel, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.