# ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649626003
- **Authorized official:** MATT LEGOWSKI (OPERATIONS)
- **Authorized official phone:** (609) 703-5097

## Contact information

- **Practice address:** 80 OAK HILL RD, RED BANK, NJ 07701-5727
- **Practice address phone:** (732) 741-2313
- **Mailing address:** 80 OAK HILL RD, RED BANK, NJ 07701-5727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MA06025200 | NJ | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 01/06/2025