Provider Demographics
NPI:1619162138
Name:NEPTUNE ORTHOPEDIC M.D. P.A.
Entity Type:Organization
Organization Name:NEPTUNE ORTHOPEDIC M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGERY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAROOP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-775-5811
Mailing Address - Street 1:10 NEPTUNE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4848
Mailing Address - Country:US
Mailing Address - Phone:732-775-5811
Mailing Address - Fax:732-502-9421
Practice Address - Street 1:10 NEPTUNE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4848
Practice Address - Country:US
Practice Address - Phone:732-775-5811
Practice Address - Fax:732-502-9421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC57882Medicare UPIN
NJ154408Medicare PIN