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NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC
NPI 1013342609
Specialist in Randolph, NJ

Active since September 13, 2013CLIA 31D2345417 · Waiver
711 ROUTE 10 E STE 100, RANDOLPH, NJ 07869(908) 684-3005(908) 684-3301 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Jersey Sports Medicine & Orthopedic Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC (NPI 1013342609), doing business as The Orthopedic Institute Of Nj, is a healthcare organization registered as a specialist in Randolph, New Jersey and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Robert A Defalco, Owner, as its authorized official.

NPPES Registry Identity

NPI1013342609
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC
Location Address711 ROUTE 10 E STE 100Randolph, NJ 07869-2030
Mailing Address376 Lafayette Rd Ste 202Sparta, NJ 07871-3560 · (908) 684-3005 · Fax (908) 684-3301
Phone(908) 684-3005
Fax(908) 684-3301
Organization SubpartYesParent: North Jersey Sports Medicine & Orthopedic C
Authorized OfficialRobert A DefalcoOwner · (908) 684-3005
Enumeration DateSeptember 13, 2013
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1013342609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NJ · 25MB06971100✔ Licensed in NJ · 25MB06992500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
711 ROUTE 10 E STE 100, Randolph, NJ 07869
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Other Names 1

Doing Business AsThe Orthopedic Institute Of Nj

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2345417

North Jersey Sports Medicine - Orthopedic Center/The Orthopedic Institute Of Nj · Randolph, NJ
Active · expires Jun 9, 2028
CLIA Number31D2345417
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorMichael S. Gutkin
Laboratory Phone(908) 684-3005
Laboratory LocationNorth Jersey Sports Medicine - Orthopedic Center/The Orthopedic Institute Of Nj711 Nj - 10 Suite 100, Randolph, NJ 07869
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC
Orthopaedic Surgery
711 ROUTE 10 E STE 100
RANDOLPH, NJ 07869
Morris County (908) 684-3005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Jersey Sports Medicine & Orthopedic Center, LLC's NPI number?

The NPI number for North Jersey Sports Medicine & Orthopedic Center, LLC is 1013342609. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as The Orthopedic Institute of NJ.

Where is North Jersey Sports Medicine & Orthopedic Center, LLC located?

North Jersey Sports Medicine & Orthopedic Center, LLC is located at 711 Route 10 E Ste 100, Randolph, NJ 07869. The listed phone number is (908) 684-3005.

What is North Jersey Sports Medicine & Orthopedic Center, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does North Jersey Sports Medicine & Orthopedic Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2345417) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Jersey Sports Medicine & Orthopedic Center, LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.