Provider Demographics
NPI:1891739165
Name:RIDGE ORTHOPEDIC GROUP, PA
Entity Type:Organization
Organization Name:RIDGE ORTHOPEDIC GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:973-998-5990
Mailing Address - Street 1:131 MADISON AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7360
Mailing Address - Country:US
Mailing Address - Phone:973-998-5990
Mailing Address - Fax:
Practice Address - Street 1:131 MADISON AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7360
Practice Address - Country:US
Practice Address - Phone:973-998-5990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02599200207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1629048855OtherINDIVIDUAL NPI
NJE13215Medicare UPIN
NJ101397Medicare PIN