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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, 2022CLIA 33D2150042 · Waiver
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: September 20, 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 holds a CLIA Waiver certificate valid through March 26, 2027, 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

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 33D2150042

Orthopaedics Spine And Sports Medicine LLC · Massapequa, NY
Active · expires Mar 26, 2027
CLIA Number33D2150042
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Charles Ruotolo
Laboratory Phone(516) 795-3033
Laboratory LocationOrthopaedics Spine And Sports Medicine LLC12 Unqua Rd, Massapequa, NY 11758
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Does Orthopaedics Spine And Sports Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2150042) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.