# NJ ORTHOPEDIC AND SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1578359394
- **Authorized official:** MS. NEESHA N MOHAMMED (OPERATIONS MANAGER)
- **Authorized official phone:** (201) 340-2199

## Contact information

- **Practice address:** 185 KINGSLAND ST, NUTLEY, NJ 07110-1119
- **Practice address phone:** (855) 699-7246
- **Practice address fax:** (718) 766-9763
- **Mailing address:** PO BOX 70, NUTLEY, NJ 07110-0070
- **Mailing address phone:** (973) 816-2259
- **Mailing address fax:** (718) 766-9763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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