Organization
ACTIVE ORTHOPAEDICS AND SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE GROSS M.D. (PRESIDENT/OWNER)
(201) 358-0707
Entity
Organization
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Mailing address
390 OLD HOOK RD, WESTWOOD, NJ 07675-2616
(201) 358-0707
(201) 358-9777
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA08256500
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA5362900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK8050
RAILROAD MEDICARE
NJ
Enumeration date
05/23/2006
Last updated
12/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us