# GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639648785
- **Legal business name:** GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
- **Authorized official:** DR. KENNETH A. LEVITSKY MD (PRESIDENT)
- **Authorized official phone:** (201) 791-4434

## Contact information

- **Practice address:** 22 MADISON AVE STE 202, PARAMUS, NJ 07652-2721
- **Practice address phone:** (201) 587-7767
- **Mailing address:** 28-04 BROADWAY, FAIR LAWN, NJ 07410-3920
- **Mailing address phone:** (201) 791-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 11/19/2018