Organization Active NPI

Garden State Orthopaedic Center, Inc.

  • Prosthetic/Orthotic Supplier
  • Oakland, NJ
National Provider Identifier
1922090950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GARDEN STATE ORTHOPAEDIC CENTER, INC.
Practice address
9 Post Rd
Suite 0P-1
Oakland, NJ 07436-1618
Phone
(201) 337-5566
Fax
(201) 337-1456
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Louis J. Haberman, C.P.ONPI 1285330340
Title
President
Phone
(201) 337-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NJ Primary

Addresses

Primary practice location

9 Post Rd
Suite 0P-1
Oakland, NJ 07436-1618

Mailing address

9 Post Rd
Suite 0P-1
Oakland, NJ 07436-1618
Phone (201) 337-5566

Other identifiers 2

IdentifierTypeStateIssuer
36877OtherNJAETNA PROVIDER NUMBER
3897206MedicaidNJ

National Provider Directory

National Provider Directory

Locations

9 Post Rd
Ste 0P1
Oakland, NJ 07436
Phone (201) 337-5566

Practitioners & affiliated clinicians

Practitioners 1

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": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922090950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POST RD",
            "address_2": "SUITE 0P-1",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361618",
            "telephone_number": "201-337-5566",
            "fax_number": "201-337-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST RD",
            "address_2": "SUITE 0P-1",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361618",
            "telephone_number": "201-337-5566",
            "fax_number": "201-337-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ORTHOPAEDIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-337-5566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "36877",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3897206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.