Active NPI
Difelice Orthopaedics PC
- Adult Reconstructive Orthopaedic Surgery Physician
- Paramus, NJ
National Provider Identifier
1720447709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 25MA09393500
- Legal business name
- DIFELICE ORTHOPAEDICS PC
- Practice address
- 140 E Ridgewood Ave
Suite 175S
Paramus, NJ 07652-3917 - Phone
- (212) 606-1844
- Fax
- (212) 746-8744
- NPI assigned
- Feb 18, 2016
- 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
- Dr. Gregory S Difelice, MD
- Title
- Owner
- Phone
- (212) 606-1844
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 25MA09393500 | NJ | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
Addresses
Primary practice location
140 E Ridgewood Ave
Suite 175S
Paramus, NJ 07652-3917
Mailing address
PO Box 626
Great River, NY 11739-0626
Phone (212) 606-1844
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1639148208
Adult Reconstructive Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1720447709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"city": "GREAT RIVER",
"state": "NY",
"postal_code": "117390626",
"telephone_number": "212-606-1844",
"fax_number": "212-746-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE",
"address_2": "SUITE 175S",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523917",
"telephone_number": "212-606-1844",
"fax_number": "212-746-8744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIFELICE ORTHOPAEDICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "DIFELICE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-606-1844",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NJ",
"license": "25MA09393500",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.