Active NPI
Orthopedics at 215 Union Avenue
- Sports Medicine (Orthopaedic Surgery) Physician
- Bridgewater, NJ
National Provider Identifier
1770655870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 25MA07898900
- Legal business name
- ORTHOPEDICS AT 215 UNION AVENUE
- Practice address
- 215 Union Ave
Suite B
Bridgewater, NJ 08807-3063 - Phone
- (908) 685-8500
- Fax
- (908) 685-8009
- NPI assigned
- Nov 14, 2006
- 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. Thomas J Nordstrom, M.D.
- Title
- Owner
- Phone
- (908) 685-8500
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 25MA07898900 | NJ | Primary |
Addresses
Primary practice location
215 Union Ave
Suite B
Bridgewater, NJ 08807-3063
Mailing address
215 Union Ave
Suite B
Bridgewater, NJ 08807-3063
Phone (908) 685-8500
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.
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1295796977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770655870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 UNION AVE",
"address_2": "SUITE B",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088073063",
"telephone_number": "908-685-8500",
"fax_number": "908-685-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 UNION AVE",
"address_2": "SUITE B",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088073063",
"telephone_number": "908-685-8500",
"fax_number": "908-685-8009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDICS AT 215 UNION AVENUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NORDSTROM",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-685-8500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NJ",
"license": "25MA07898900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.