Organization
NORTH JERSEY ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR KHATIB MD (OWNER)
(973) 310-2972
Entity
Organization
Contact information
Practice address
1300 MAIN AVE STE 3A, CLIFTON, NJ 07011-2266
(973) 310-2972
(973) 382-7202
Mailing address
1300 MAIN AVE STE 3A, CLIFTON, NJ 07011-2266
(973) 310-2972
(973) 321-7429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
06/06/2019
Last updated
02/06/2023
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