Organization Active NPI

American Orthopedic and Sports Medicine PA

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Paramus, NJ
National Provider Identifier
1720192891
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
25MA04269600 Issued in NJ
Legal business name
AMERICAN ORTHOPEDIC AND SPORTS MEDICINE PA
Practice address
30 W Century Rd
Paramus, NJ 07652-1433
Phone
(201) 986-1003
Fax
(201) 986-1680
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Joann C Derosa
Title
Account Manager
Phone
(201) 986-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 25MA04269600 NJ Primary

Addresses

Primary practice location

30 W Century Rd
Paramus, NJ 07652-1433

Mailing address

30 W Century Rd
Paramus, NJ 07652-1433
Phone (201) 986-1003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1720192891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-986-1003",
            "fax_number": "201-986-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-986-1003",
            "fax_number": "201-986-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ORTHOPEDIC AND SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "201-986-1003"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA04269600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.