# NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Orthopedic Institute of NJ
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609311398
- **Authorized official:** DR. ROBERT A DEFALCO JR. DO (MANAGING PARTNER)
- **Authorized official phone:** (908) 684-3005

## Contact information

- **Practice address:** 108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
- **Practice address phone:** (908) 684-3005
- **Practice address fax:** (908) 684-3301
- **Mailing address:** 108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840-4174
- **Mailing address phone:** (908) 684-3005
- **Mailing address fax:** (908) 684-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00420400 | NJ | Yes |
| 363AS0400X | Surgical Physician Assistant | 25MP00420400 | NJ | — |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/04/2017