# NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC

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

## Provider details

- **NPI number:** 1992383780
- **Authorized official:** SANDRA SCHEIDER (OFFICE MANAGER)
- **Authorized official phone:** (908) 684-2480

## Contact information

- **Practice address:** 711 ROUTE 10 E STE 100, RANDOLPH, NJ 07869-2030
- **Practice address phone:** (908) 684-3005
- **Mailing address:** 376 LAFAYETTE RD STE 202, SPARTA, NJ 07871-3560
- **Mailing address phone:** (908) 684-2480

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/01/2021