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GARY ROMBOUGH MD PA NPI 1124355920


NPI Information

NPI: 1124355920
Provider Name: GARY ROMBOUGH MD PA
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
141 CENTRAL AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 746-6844
Get Directions

GARY ROMBOUGH MD PA is an adult reconstructive orthopaedic surgery orthopaedic surgery in Montclair, NJ. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. GARY ROMBOUGH MD PA NPI is 1124355920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

141 CENTRAL AVE
MONTCLAIR, NJ
ZIP 07042-003
Phone: (973) 746-6844
Fax: (973) 746-4386

The provider's authorized official is Gary Robert Rombough .
The authorized official title is President and has the following contact phone number (973) 746-6844.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 11/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery25MA03885700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C56283MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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