Active NPI
Atlantic Shore Orthopaedic Associates, LLC
- Orthopaedic Surgery Physician
- Northfield, NJ
National Provider Identifier
1730146846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2022
- 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. Stanley C. Marczyk, M.D.
- Title
- Managing Partner
- Phone
- (609) 645-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2737604 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.