Organization Active NPI

Rahway Edison Orthopedic Group PA

  • Orthopaedic Surgery Physician
  • Rahway, NJ
National Provider Identifier
1861434656
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RAHWAY EDISON ORTHOPEDIC GROUP PA
Practice address
867 Saint Georges Ave
Rahway, NJ 07065-2658
Phone
(732) 381-2244
Fax
(732) 388-7911
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Howard Martin Pecker, M.D.
Title
President/Surgeon
Phone
(732) 381-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

867 Saint Georges Ave
Rahway, NJ 07065-2658

Mailing address

867 Saint Georges Ave
Rahway, NJ 07065-2658
Phone (732) 381-2244

Other identifiers 1

IdentifierTypeStateIssuer
2603306MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1445 Raritan Rd
#1
Clark, NJ 07066
Phone (732) 481-1626

867 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3336

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1861434656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652658",
            "telephone_number": "732-381-2244",
            "fax_number": "732-388-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652658",
            "telephone_number": "732-381-2244",
            "fax_number": "732-388-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHWAY EDISON ORTHOPEDIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "PECKER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT/SURGEON",
        "authorized_official_telephone_number": "732-381-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2603306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.