NPIMap

Organization Active NPI

Orthopaedic, Sports Medicine and Rehabilitation Center, LLC

  • Non-Pharmacy Dispensing Site
  • Morganville, NJ
National Provider Identifier
1720528409
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
25MA08297500 Issued in NJ
Legal business name
ORTHOPAEDIC, SPORTS MEDICINE AND REHABILITATION CENTER, LLC
Practice address
25 Kilmer Dr
Building 3 Suite 104
Morganville, NJ 07751-1564
Phone
(732) 617-9111
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Steven Lisser
Title
Managing Member
Phone
(609) 703-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 25MA08297500 NJ Primary

Addresses

Primary practice location

25 Kilmer Dr
Building 3 Suite 104
Morganville, NJ 07751-1564

Mailing address

25 Kilmer Dr
Building 3 Suite 104
Morganville, NJ 07751-1564

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Sports Medicine and Rehabilitation Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

25 Kilmer Dr
Ste 104
Morganville, NJ 07751
Phone (732) 617-9111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHIGDD

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1720528409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "address_2": "BUILDING 3 SUITE 104",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "address_2": "BUILDING 3 SUITE 104",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-617-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC, SPORTS MEDICINE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "LISSER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-703-5097",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA08297500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.