Reconstructive Orthopedics, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

RECONSTRUCTIVE ORTHOPEDICS, P.A.

Practice address

1004 Haddonfield Rd
Cherry Hill, NJ 08002-2746

Phone

(609) 267-9400

NPI assigned

Nov 12, 2014

Last updated

Nov 12, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

RECONSTRUCTIVE ORTHOPEDICS, P.A.As reported in NPPES

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

Authorized official

Name

Amy Mickle

Title

Credentialing Specialist

Phone

(609) 267-9400

Specialties & licenses 5

Addresses

Part of

Reconstructive Orthoped

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Reconstructive Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Medford, NJ
  • NPI 1124526421
  NPPES parent name

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1881090298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EVES DR # A",
            "address_2": "SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533195",
            "telephone_number": "609-267-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022746",
            "telephone_number": "609-267-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE ORTHOPEDICS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECONSTRUCTIVE ORTHOPEDICS, P.A.",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "MICKLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "609-267-9400"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Rebello, MD
• Mark Rebilas, DPT
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• Gregory Rechner, PA-C
• Ninfa Recinto
• Recovery Physical Therapy, PC
• Red Oak Psychotherapy LLC
• Melissa Christine Reddick
• Deepika M Reddy, DDS
• Rebecca Redel

• Orthopaedic Surgery Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.