Garden State Orthopaedic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GARDEN STATE ORTHOPAEDIC, INC.

Practice address

95 Mount Kemble Ave
Annex Building
Morristown, NJ 07960-5155

Phone

(973) 538-4948

Fax

(973) 605-8481

NPI assigned

Aug 15, 2005

Organization subpart

No

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.O.NPI 1285330340

Title

President

Phone

(973) 538-4948

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis James Haberman, CPO / LPO

  • Prosthetic/Orthotic Supplier
  • Columbia, NJ
  • NPI 1285330340
  NPD Authorized official

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1962404350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "ANNEX BUILDING",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-538-4948",
            "fax_number": "973-605-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "ANNEX BUILDING",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-538-4948",
            "fax_number": "973-605-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ORTHOPAEDIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-08-17",
        "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": "973-538-4948",
        "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": "3897206-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Gao
• Alberto Jose Garcia Saucedo, MD
• Clara Juliana Garcia, LMSW, LSW
• Oliver Garcia, P.A.
• Garden Counseling and Wellness LLC
• Garden State Wellness Center LLC
• Pamela Gardin
• Jennifer Ashley Gardner
• Timothy Gardner, DO, MBS
• David Adam Garfinkel, MD

• Prosthetic/Orthotic Supplier in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.