Active NPI
Orthopaedic and Sports Medicine Specialists, Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- Holmdel, NJ
National Provider Identifier
1679637052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 25MA07887100
- Legal business name
- ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
- Practice address
- 719 North Beers St
Suite C-1
Holmdel, NJ 07733 - Phone
- (732) 888-2100
- Fax
- (732) 888-2188
- NPI assigned
- Dec 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Lopez, MD
- Title
- Owner
- Phone
- (732) 888-2100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25MA07887100 | NJ | Primary |
Addresses
Primary practice location
719 North Beers St
Suite C-1
Holmdel, NJ 07733
Mailing address
PO Box 549
Holmdel, NJ 07733
Phone (732) 888-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082295 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopaedic Sports Med Spe
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Holmdel, NJ
- NPI 1679599153
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Little Silver, NJ
- NPI 1629021399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679637052",
"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": "07733",
"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 NORTH BEERS ST",
"address_2": "SUITE C-1",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-888-2100",
"fax_number": "732-888-2188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-888-2100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NJ",
"license": "25MA07887100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082295",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.