Organization Active NPI

Non-Surgical Orthopedics of New Jersey

  • Physical Medicine & Rehabilitation Physician
  • Perth Amboy, NJ
National Provider Identifier
1790062628
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08561100 Issued in NJ
Legal business name
NON-SURGICAL ORTHOPEDICS OF NEW JERSEY
Practice address
1107 Convery Blvd
Perth Amboy, NJ 08861-1937
Phone
(516) 220-8960
Fax
(516) 717-3556
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Ketan Dhruvkumar Vora, DO
Title
Physician
Phone
(516) 220-8960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 25MB08561100 NJ Primary

Addresses

Primary practice location

1107 Convery Blvd
Perth Amboy, NJ 08861-1937

Mailing address

465 Washington Blvd
Suite 2007 South
Jersey City, NJ 07310-2117
Phone (516) 220-8960

National Provider Directory

National Provider Directory

Locations

680 Broadway
Ste 202
Paterson, NJ 07514
Phone (973) 782-4117

444 Market St
#C
Saddle Brook, NJ 07663
Phone (201) 843-9441

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1790062628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON BLVD",
            "address_2": "SUITE 2007 SOUTH",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102117",
            "telephone_number": "516-220-8960",
            "fax_number": "516-717-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CONVERY BLVD",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088611937",
            "telephone_number": "516-220-8960",
            "fax_number": "516-717-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-SURGICAL ORTHOPEDICS OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "DHRUVKUMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-220-8960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08561100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.