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ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC
NPI 1154030328
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Bayonne, NJ

Active since November 16, 2022
16 E 29TH ST FL 2, BAYONNE, NJ 07002(201) 971-7070(201) 339-2109 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Orthopaedics Spine And Sports Medicine Llc NPPES

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

ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC (NPI 1154030328), doing business as Total Orthopedics And Sports Medicine, is a healthcare organization registered as an orthopaedic surgery of the spine in Bayonne, New Jersey and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Englewood and lists Nicole Tasso, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1154030328
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC
Location Address16 E 29TH ST FL 2Bayonne, NJ 07002-4603
Mailing Address12 Unqua RdMassapequa, NY 11758-6727 · (516) 795-3033 · Fax (516) 654-9358
Phone(201) 971-7070
Fax(201) 339-2109
Organization SubpartNo
Authorized OfficialNicole TassoCredentialing Manager · (516) 795-3033
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 16, 2022
✔ NPI 1154030328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
16 E 29TH ST FL 2, Bayonne, NJ 07002
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Other Names 1

Doing Business AsTotal Orthopedics And Sports Medicine

Secondary Practice Location 1

Location 154 S Dean StEnglewood, NJ 07631-3514 · Phone (201) 971-7070 · Fax (201) 339-2109

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthopaedics Spine And Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Orthopaedics Spine And Sports Medicine LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Jarrett Boroniec, DO
Orthopedic Surgery
NPI 1083068472
1789 SHEEPSHEAD BAY RD
Brooklyn, NY 11235
(516) 795-3033
✔ PECOS✔ Accepts Medicare10 mi
Michael Shindle, MD
Orthopedic Surgery
NPI 1952578627
504 VALLEY RD STE 200
Wayne, NJ 07470
(973) 694-2690
✔ PECOS✔ Accepts Medicare19 mi
Colin Harris, MD
Orthopedic Surgery
NPI 1194979435
1680 ROUTE 23 STE 250
Wayne, NJ 07470
(973) 633-1122
✔ PECOS✔ Accepts Medicare20 mi
Jason Kooch, D.O.
Physical Medicine and Rehabilitation
NPI 1902804347
115 EILEEN WAY
Syosset, NY 11791
(516) 795-3033
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Orthopaedics Spine And Sports Medicine LLC's NPI number?

The NPI number for Orthopaedics Spine And Sports Medicine LLC is 1154030328. It was assigned to this organization in the NPPES registry on November 16, 2022. The provider is doing business as Total Orthopedics and Sports Medicine.

Where is Orthopaedics Spine And Sports Medicine LLC located?

Orthopaedics Spine And Sports Medicine LLC is located at 16 E 29th St Fl 2, Bayonne, NJ 07002. The listed phone number is (201) 971-7070.

What is Orthopaedics Spine And Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Orthopaedics Spine And Sports Medicine LLC enrolled in Medicare?

Yes. Orthopaedics Spine And Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopaedics Spine And Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Orthopaedics Spine And Sports Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (3) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthopaedics Spine And Sports Medicine LLC was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.