Organization
GARDEN STATE ORTHOPAEDIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS J. HABERMAN C.P.O (PRESIDENT)
(201) 337-5566
Entity
Organization
Contact information
Practice address
9 POST RD, SUITE 0P-1, OAKLAND, NJ 07436-1618
(201) 337-5566
(201) 337-1456
Mailing address
9 POST RD, SUITE 0P-1, OAKLAND, NJ 07436-1618
(201) 337-5566
(201) 337-1456
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36877
AETNA PROVIDER NUMBER
NJ
05
—
3897206
—
NJ
Enumeration date
08/16/2005
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up