# ACTIVE ORTHOPEDIC SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023388980
- **Authorized official:** DR. MICHAEL L GROSS MD (OWNER)
- **Authorized official phone:** (201) 343-2277

## Contact information

- **Practice address:** 25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
- **Practice address phone:** (201) 343-2277
- **Practice address fax:** (201) 343-7410
- **Mailing address:** 25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
- **Mailing address phone:** (201) 343-2277
- **Mailing address fax:** (201) 343-7410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA05362900 | NJ | Yes |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 06/04/2012