Organization Active NPI

New Jersey Orthopaedic Institute, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wayne, NJ
National Provider Identifier
1821224429
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0600-3432-20 Issued in NJ
Legal business name
NEW JERSEY ORTHOPAEDIC INSTITUTE, LLC
Practice address
504 Valley Rd
Suite 200
Wayne, NJ 07470-3534
Phone
(973) 694-2690
Fax
(973) 694-2692
NPI assigned
Jun 9, 2009
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Mrs. Joyce Carrion
Title
Practice Administrator
Phone
(973) 694-2690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0600-3432-20 NJ Primary

Addresses

Primary practice location

504 Valley Rd
Suite 200
Wayne, NJ 07470-3534

Mailing address

504 Valley Rd
Suite 200
Wayne, NJ 07470-3534
Phone (973) 694-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000297 NJ Part B Supplier - Clinic/Group Practice 0345396156 Receives reassigned benefits from 14 practitioners
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

504 Valley Rd
Ste 200
Wayne, NJ 07470
Phone (973) 694-2690

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76551

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1821224429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-694-2690",
            "fax_number": "973-694-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-694-2690",
            "fax_number": "973-694-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY ORTHOPAEDIC INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "CARRION",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-694-2690",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "0600-3432-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.