Organization Active NPI

Atlantic Shore Orthopaedic Associates, LLC

  • Orthopaedic Surgery Physician
  • Northfield, NJ
National Provider Identifier
1730146846
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ATLANTIC SHORE ORTHOPAEDIC ASSOCIATES, LLC
Practice address
611 New Rd
Northfield, NJ 08225-1652
Phone
(609) 645-1500
Fax
(609) 484-9122
NPI assigned
May 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Stanley C. Marczyk, M.D.
Title
Managing Partner
Phone
(609) 645-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NJ Primary

Addresses

Primary practice location

611 New Rd
Northfield, NJ 08225-1652

Mailing address

611 New Rd
Northfield, NJ 08225-1652
Phone (609) 645-1500

Other identifiers 1

IdentifierTypeStateIssuer
2737604MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730146846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251652",
            "telephone_number": "609-645-1500",
            "fax_number": "609-484-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251652",
            "telephone_number": "609-645-1500",
            "fax_number": "609-484-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SHORE ORTHOPAEDIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARCZYK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "609-645-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.