Provider Demographics
NPI:1376043901
Name:AIM ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:AIM ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFFAELE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGONIGRO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-860-0550
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-0426
Mailing Address - Country:US
Mailing Address - Phone:973-814-2246
Mailing Address - Fax:
Practice Address - Street 1:44 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1571
Practice Address - Country:US
Practice Address - Phone:973-860-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty