NPIMap

Organization Active NPI

Spine & Osteoarthritis Center of NJ, LLC

  • Internal Medicine Physician
  • Cedar Knolls, NJ
National Provider Identifier
1821328402
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4507 Issued in NJ
Legal business name
SPINE & OSTEOARTHRITIS CENTER OF NJ, LLC
Practice address
7 Ridgedale Ave Ste 203
Cedar Knolls, NJ 07927-1120
Phone
(973) 359-4400
Fax
(973) 359-4414
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Larry A Goldfarb, D.C.
Title
Partner
Phone
(973) 359-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 38MC00176600 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4507 NJ Primary

Addresses

Primary practice location

7 Ridgedale Ave Ste 203
Cedar Knolls, NJ 07927-1120

Mailing address

7 Ridgedale Ave Ste 203
Cedar Knolls, NJ 07927-1120
Phone (973) 359-4400

National Provider Directory

National Provider Directory

Locations

7 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 359-4400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1821328402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIDGEDALE AVE STE 203",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271120",
            "telephone_number": "973-359-4400",
            "fax_number": "973-359-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIDGEDALE AVE STE 203",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271120",
            "telephone_number": "973-359-4400",
            "fax_number": "973-359-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & OSTEOARTHRITIS CENTER OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-359-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00176600",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.