Provider Demographics
NPI:1649444589
Name:ORTHOPAEDICS UNLIMITED LLC
Entity type:Organization
Organization Name:ORTHOPAEDICS UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDINALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-577-5200
Mailing Address - Street 1:445 PLEASANT VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2919
Mailing Address - Country:US
Mailing Address - Phone:973-577-5200
Mailing Address - Fax:976-577-5201
Practice Address - Street 1:445 PLEASANT VALLEY WAY
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2919
Practice Address - Country:US
Practice Address - Phone:973-577-2000
Practice Address - Fax:973-577-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA67795207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1649444589OtherMEDICARE DME NPI
NJ136755OtherMEDICARE GROUP PTAN
NJ1508812330OtherMEDICARE INDIVIDUAL NPI
NJ1649444589OtherMEDICARE GROUP NPI
NJ7181350001Medicare NSC
NJ1508812330OtherMEDICARE INDIVIDUAL NPI