Active NPI
University Orthopaedic Center PA
- Sports Medicine (Orthopaedic Surgery) Physician
- Hackensack, NJ
National Provider Identifier
1679712319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- UNIVERSITY ORTHOPAEDIC CENTER PA
- Practice address
- 433 Hackensack Ave
2ND Floor
Hackensack, NJ 07601-6319 - Phone
- (201) 343-1717
- Fax
- (201) 343-3217
- NPI assigned
- Feb 19, 2009
- Last updated
- Feb 19, 2009
- 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
- Raphael S Longobardi, MD
- Title
- Owner
- Phone
- (201) 343-1717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
433 Hackensack Ave
2ND Floor
Hackensack, NJ 07601-6319
Mailing address
433 Hackensack Ave
2ND Floor
Hackensack, NJ 07601-6319
Phone (201) 343-1717
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1679712319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 HACKENSACK AVE",
"address_2": "2ND FLOOR",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016319",
"telephone_number": "201-343-1717",
"fax_number": "201-343-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 HACKENSACK AVE",
"address_2": "2ND FLOOR",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016319",
"telephone_number": "201-343-1717",
"fax_number": "201-343-3217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY ORTHOPAEDIC CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-19",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "LONGOBARDI",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-343-1717",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.