Provider Demographics
NPI:1639250756
Name:ORTHOPEDIC ASSOCIATES OF WEST JERSEY, P.A.
Entity Type:Organization
Organization Name:ORTHOPEDIC ASSOCIATES OF WEST JERSEY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-989-0888
Mailing Address - Street 1:600 MT. PLEASANT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801
Mailing Address - Country:US
Mailing Address - Phone:973-989-0888
Mailing Address - Fax:973-989-0885
Practice Address - Street 1:600 MT. PLEASANT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801
Practice Address - Country:US
Practice Address - Phone:973-989-0888
Practice Address - Fax:973-989-0885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
501031Medicare UPIN
NJOR501031Medicare ID - Type Unspecified