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TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE PA NPI 1447213962


NPI Information

NPI: 1447213962
Provider Name: TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE PA

Doing Business As: TRI-COUNTY ORTHOPEDICS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D2202614

Address:
197 RIDGEDALE AVE
CEDAR KNOLLS, NJ
ZIP 07927
Phone: (973) 538-2334
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TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE PA is a specialist in Cedar Knolls, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TRI-COUNTY ORTHOPAEDIC & SPORTS MEDICINE PA NPI is 1447213962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tri-county Orthopedics.

The provider's business location address is:

197 RIDGEDALE AVE
CEDAR KNOLLS, NJ
ZIP 07927-111
Phone: (973) 538-2334

The provider's authorized official is Mark J. Mcbride .
The authorized official title is Director and has the following contact phone number (973) 538-2334.

The CLIA number assigned to this NPI record is 31D2202614 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 5/31/2023.


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
1207X00000XOrthopaedic SurgeryNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4174400000XSpecialist25MA04208000NEW 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
11133306MEDICAIDNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.