Elite Orthopedics and Sports Medicine, P.a.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

25MA07294400 Issued in NJ

Legal business name

ELITE ORTHOPEDICS AND SPORTS MEDICINE, P.A.

Practice address

342 Hamburg Tpke
Suite 209
Wayne, NJ 07470-2162

Phone

(973) 956-8100

Fax

(973) 956-8104

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nader Fahimi, M.D.NPI 1346326956

Title

Physician

Phone

(973) 767-8198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Nader Fahimi, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wayne, NJ
  • NPI 1346326956
  Medicare reassignment Care Compare group NPD Authorized official
• Ivan Chen, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Little Falls, NJ
  • NPI 1467632364
  Medicare reassignment Care Compare group NPD
• Jason Schneidkraut, MD

  • Orthopaedic Trauma Physician
  • Wayne, NJ
  • NPI 1639337884
  Medicare reassignment Care Compare group NPD
• John Lee Berger, MD

  • Specialist
  • Fair Lawn, NJ
  • NPI 1215999784
  Medicare reassignment NPD
• Garrick A Cox, MD

  • Orthopaedic Surgery Physician
  • Wayne, NJ
  • NPI 1881613925
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1982882601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 209",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-956-8100",
            "fax_number": "973-956-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 209",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-956-8100",
            "fax_number": "973-956-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHOPEDICS AND SPORTS MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "FAHIMI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-767-8198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA07294400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elfanagely, MD
• Elite Home Rehab Services LLC
• Elite Neuro Diagnostic Services
• Elite Oral & Maxillofacial Surgery
• Elite Orthodontics
• Elite Pulmonary and Sleep Medicine PA
• Elite RX LLC
• Elite Surgical Center LLC
• Elizabeth Ellen DMD
• Elizabeth K Ellen, DMD

• Sports Medicine (Orthopaedic Surgery) Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.