Organization Active NPI

Orthpaedic & Sports Medicine Associates,P.a.

  • Specialist
  • Emerson, NJ
National Provider Identifier
1932397502
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
41635 Issued in NJ
Legal business name
ORTHPAEDIC & SPORTS MEDICINE ASSOCIATES,P.A.
Practice address
440 Old Hook Rd
Emerson, NJ 07630-2302
Phone
(201) 261-6351
Fax
(201) 261-2805
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Ira Esformes, M.D.
Title
President
Phone
(201) 261-6351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 41635 NJ Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 25MA07735800 NJ

Addresses

Primary practice location

440 Old Hook Rd
Emerson, NJ 07630-2302

Mailing address

440 Old Hook Rd
Emerson, NJ 07630-2302
Phone (201) 261-6351

Other identifiers 1

IdentifierTypeStateIssuer
CD2332OtherNJRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1932397502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076302302",
            "telephone_number": "201-261-6351",
            "fax_number": "201-261-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076302302",
            "telephone_number": "201-261-6351",
            "fax_number": "201-261-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHPAEDIC & SPORTS MEDICINE ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ESFORMES",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-261-6351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "41635",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07735800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2332",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.