Provider Demographics
NPI:1386767127
Name:ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA
Entity type:Organization
Organization Name:ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-757-1520
Mailing Address - Street 1:205 MAY ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837
Mailing Address - Country:US
Mailing Address - Phone:908-757-1520
Mailing Address - Fax:908-769-1388
Practice Address - Street 1:205 MAY ST
Practice Address - Street 2:SUITE 202
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837
Practice Address - Country:US
Practice Address - Phone:908-757-1520
Practice Address - Fax:908-769-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7552700Medicaid
NJC18936OtherRAILROAD MEDICARE
NJ7552700Medicaid