NPIMap

Organization Active NPI

North Jersey Orthopaedic Group

  • Surgical Physician Assistant
  • Newark, NJ
National Provider Identifier
1679794473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MP00155300 Issued in NJ
Legal business name
NORTH JERSEY ORTHOPAEDIC GROUP
Practice address
90 Bergen St Ste 1200
Newark, NJ 07103-2425
Phone
(973) 972-0848
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judith O'Connor
Title
Director of Orthopaedics
Phone
(973) 972-6179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X MP00155300 NJ Primary

Addresses

Primary practice location

90 Bergen St Ste 1200
Newark, NJ 07103-2425

Mailing address

200 Lewis St Apt 102
Rahway, NJ 07065-5086
Phone (551) 265-4237

Other names 1

  • University Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
University Rehabilitati18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

90 Bergen St
Ste 1200
Newark, NJ 07103
Phone (973) 972-0848

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679794473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEWIS ST APT 102",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655086",
            "telephone_number": "551-265-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST STE 1200",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY ORTHOPAEDIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR OF ORTHOPAEDICS",
        "authorized_official_telephone_number": "973-972-6179"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "MP00155300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, 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.

Verify at the official NPI Registry.