Provider Demographics
NPI:1225067093
Name:NJ OSTEOMED PC
Entity Type:Organization
Organization Name:NJ OSTEOMED PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:AURIEMMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-979-3421
Mailing Address - Street 1:95 QUEENS DR S
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1630
Mailing Address - Country:US
Mailing Address - Phone:973-979-3421
Mailing Address - Fax:732-224-0006
Practice Address - Street 1:1 BETHANY RD
Practice Address - Street 2:SUITE 43
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1663
Practice Address - Country:US
Practice Address - Phone:732-888-0700
Practice Address - Fax:732-888-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06995300207Q00000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty