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GARDEN STATE ORTHOCARE LLC NPI 1639507684


NPI Information

NPI: 1639507684
Provider Name: GARDEN STATE ORTHOCARE LLC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
321 ESSEX ST
HACKENSACK, NJ
ZIP 07601
Phone: (888) 721-6238
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GARDEN STATE ORTHOCARE LLC is a sports medicine orthopaedic surgery in Hackensack, NJ. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. GARDEN STATE ORTHOCARE LLC NPI is 1639507684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

321 ESSEX ST
HACKENSACK, NJ
ZIP 07601-066
Phone: (888) 721-6238
Fax: (888) 721-6238

The provider's authorized official is Randall Victor Ehrlich .
The authorized official title is President and has the following contact phone number (888) 721-6238.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine25MA09089400NEW JERSEYYes

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: 4/28/2024

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