Avrum Joffe, M.D., FAAOS

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

25MA09147600 Issued in NJ

Practice address

106 Prospect St Ste 3
Ridgewood, NJ 07450-4433

Phone

(201) 639-2656

Fax

(201) 345-4405

NPI assigned

Nov 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: avrum.joffe@ppos.directbygreenway.com
• Direct secure messaging: ajoffe1273383@ahs.direct-ci.com

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1962656579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVRUM L JOFFE SOLE MBR",
            "address_2": "106 PROSPECT ST STE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504433",
            "telephone_number": "201-639-2656",
            "fax_number": "201-345-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROSPECT ST STE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504433",
            "telephone_number": "201-639-2656",
            "fax_number": "201-345-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOFFE",
        "first_name": "AVRUM",
        "name_prefix": "Dr.",
        "credential": "M.D., FAAOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A119886",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "250629",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09147600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "250629",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE MEDICAL LICENSE",
            "identifier": "25MA09147600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A119886",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ida Jeltova, PH.D.
• Jenni Levine Driscoll
• Jennifer Cope Pediatric Neurology, LLC
• John Jensen, P.T.
• Joel E Kopelman M.D., P.a.
• John a. Co, MD, LLC
• David Richard Johnson, M.S., MSAOM, L.AC.
• Joyce Marie Johnson, D.D.S.
• Thomas Johnson, D.O.
• Joseph Disaverio MD PA

• Pediatric Orthopaedic Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pediatric Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.