Provider Demographics
NPI:1912339003
Name:ORTHO-CARE WAYNE LLC
Entity Type:Organization
Organization Name:ORTHO-CARE WAYNE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:REICHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-839-9401
Mailing Address - Street 1:2035 HAMBURG TPKE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6251
Mailing Address - Country:US
Mailing Address - Phone:973-616-0200
Mailing Address - Fax:973-831-8600
Practice Address - Street 1:2035 HAMBURG TPKE
Practice Address - Street 2:SUITE D
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6251
Practice Address - Country:US
Practice Address - Phone:973-616-0200
Practice Address - Fax:973-831-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ311511Medicare UPIN