Provider Demographics
NPI:1104989292
Name:ORTHOPAEDIC PHYSICIANS & SURGEONS, P.C.
Entity type:Organization
Organization Name:ORTHOPAEDIC PHYSICIANS & SURGEONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTESANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-686-1488
Mailing Address - Street 1:975 LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7632
Mailing Address - Country:US
Mailing Address - Phone:908-686-1488
Mailing Address - Fax:908-687-7886
Practice Address - Street 1:975 LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7632
Practice Address - Country:US
Practice Address - Phone:908-686-1488
Practice Address - Fax:908-687-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ552673Medicare ID - Type Unspecified