Active NPI
CMD NJ PC
- Orthopaedic Surgery Physician
- Englewood, NJ
National Provider Identifier
1851959225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CMD NJ PC
- Practice address
- 177 N Dean St
Englewood, NJ 07631-2533 - Phone
- (201) 510-3777
- Fax
- (201) 501-3778
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- 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
- Mary Legg
- Title
- Credentialing Coordinator
- Phone
- (347) 584-8903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
177 N Dean St
Englewood, NJ 07631-2533
Mailing address
177 N Dean St
Englewood, NJ 07631-2533
Phone (201) 510-3777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559260800000",
"number": "1851959225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312533",
"telephone_number": "201-510-3777",
"fax_number": "201-501-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312533",
"telephone_number": "201-510-3777",
"fax_number": "201-501-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMD NJ PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A",
"authorized_official_last_name": "LEGG",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "347-584-8903"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.