NPIMap

Organization Active NPI

Garden State Orthopaedic Associates, P.a.

  • Anesthesiology Physician
  • Fair Lawn, NJ
National Provider Identifier
1891185294
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Practice address
28-04 Broadway
Fair Lawn, NJ 07410-3913
Phone
(201) 791-4434
NPI assigned
Jan 23, 2015
Organization subpart
Yes
Parent organization
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Mr. Alexander Rothschild, M.S.
Title
Administrator
Phone
(201) 791-4628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

28-04 Broadway
Fair Lawn, NJ 07410-3913

Mailing address

28-04 Broadway
Fair Lawn, NJ 07410-3913
Phone (201) 791-4434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000754 NJ Part B Supplier - Clinic/Group Practice 0941257158 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clifton, NJ; Fair Lawn, NJ; Hoboken, NJ; Iselin, NJ; Mahwah, NJ; Paramus, NJ; Parsippany, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Garden State Orthopaedic Assocaites PA8 organizations share this tax ID, including this one
Part of
Garden State Orthopaedic Assocaites PA

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1891185294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "ROTHSCHILD",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-791-4628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.