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Organization
NJ ORTHOPEDIC AND SPORTS MEDICINE
Active
Organization
NJ ORTHOPEDIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEESHA N MOHAMMED (OPERATIONS MANAGER)
(201) 340-2199
Entity
Organization
Contact information
Practice address
185 KINGSLAND ST, NUTLEY, NJ 07110-1119
(855) 699-7246
(718) 766-9763
Mailing address
PO BOX 70, NUTLEY, NJ 07110-0070
(973) 816-2259
(718) 766-9763
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
04/17/2025
Last updated
06/19/2025
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