Provider Demographics
NPI:1316411168
Name:NEXT GEN ORTHOPAEDICS LLC
Entity Type:Organization
Organization Name:NEXT GEN ORTHOPAEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:MS
Authorized Official - First Name:LLOYDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-724-6735
Mailing Address - Street 1:623 LAFAYETTE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-2439
Mailing Address - Country:US
Mailing Address - Phone:844-724-6735
Mailing Address - Fax:855-723-2174
Practice Address - Street 1:229 MAIN ST UNIT 1100D
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-8823
Practice Address - Country:US
Practice Address - Phone:844-724-6735
Practice Address - Fax:855-723-2174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty