Provider Demographics
NPI:1235213471
Name:ROSS CENTER FOR ORTHOPEDICS, LLC
Entity Type:Organization
Organization Name:ROSS CENTER FOR ORTHOPEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROSS-ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-267-2333
Mailing Address - Street 1:300 CREEK CROSSING BOULEVARD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036
Mailing Address - Country:US
Mailing Address - Phone:609-267-2333
Mailing Address - Fax:609-267-2533
Practice Address - Street 1:300 CREEK CROSSING BOULEVARD
Practice Address - Street 2:SUITE 307
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036
Practice Address - Country:US
Practice Address - Phone:609-267-2333
Practice Address - Fax:609-267-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06403200207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ610860700OtherDEPARTMENT OF LABOR
NJ2646006000OtherAMERIHEALTH
NJ098622Medicare PIN
NJ610860700OtherDEPARTMENT OF LABOR