North Jersey Pediatric Orthpedics PA

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

MA39087 Issued in NJ

Legal business name

NORTH JERSEY PEDIATRIC ORTHPEDICS PA

Practice address

140 Chestnut St
Suite 201
Ridgewood, NJ 07450-2599

Phone

(210) 445-2457

Fax

(201) 445-9050

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Avella, MDNPI 1437200672

Title

Owner

Phone

(201) 445-2457

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 4

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

• Douglas George Avella, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Ridgewood, NJ
  • NPI 1437200672
  NPD (past) Authorized official
• Marissa Nicole Ellis, PA-C

  • Physician Assistant
  • Morristown, NJ
  • NPI 1255030334

  Pediatric Orthopaedic Surgery

  NPD (past)
• Franklin E Paulino, M.D.

  • Orthopaedic Surgery Physician
  • Ridgewood, NJ
  • NPI 1225561236
  NPD (past)
• John Tis, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Morristown, NJ
  • NPI 1649363797
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1700915592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CHESTNUT ST",
            "address_2": "SUITE 201",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502599",
            "telephone_number": "210-445-2457",
            "fax_number": "201-445-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHESTNUT ST",
            "address_2": "SUITE 201",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502599",
            "telephone_number": "210-445-2457",
            "fax_number": "201-445-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PEDIATRIC ORTHPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "AVELLA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-445-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA39087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1822900",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333604",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3Q4361",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9483401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81D031",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Therese Norrell, DNP
• North East Laser Vein Institute LLC
• North Jersey Behavioral Counseling
• North Jersey Game on Physical Therapy Limited Partnership
• North Jersey Neurosurgical Associates, PA
• North Jersey Pulmonary Associates
• North Jersey Surgical Associates, PA
• Nutrition by Design, LLC
• Lori A. Nuzzi, D.C.
• Colette Nyajure, MD

• Pediatric Orthopaedic Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pediatric Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.