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SPECIALTY ORTHOPAEDICS OF NEW JERSEY, PA
NPI 1174580807
Specialist in Ridgewood, NJ

Active since April 27, 2006
1124 E RIDGEWOOD AVE, 201, RIDGEWOOD, NJ 07450(201) 447-1188(201) 447-8935 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Specialty Orthopaedics Of New Jersey, Pa NPPES

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

SPECIALTY ORTHOPAEDICS OF NEW JERSEY, PA (NPI 1174580807), doing business as Edward B Self Jr Md Facs Pa, is a healthcare organization registered as a specialist in Ridgewood, New Jersey and active in the NPI registry since April 2006. The organization lists David P Rudman, President, as its authorized official.

NPPES Registry Identity

NPI1174580807
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPECIALTY ORTHOPAEDICS OF NEW JERSEY, PA
Location Address1124 E RIDGEWOOD AVE, 201Ridgewood, NJ 07450-3915
Mailing Address1124 E Ridgewood Ave, 201Ridgewood, NJ 07450-3915 · (201) 447-1188 · Fax (201) 447-8935
Phone(201) 447-1188
Fax(201) 447-8935
Organization SubpartNo
Authorized OfficialDavid P RudmanPresident · (201) 447-1188
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 7, 2011
✔ NPI 1174580807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NJ · MA33233✔ Licensed in NJ · 25MA07771200
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.
1124 E RIDGEWOOD AVE, Ridgewood, NJ 07450
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Other Names 1

Former Legal Business NameEdward B Self Jr Md Facs Pa

Other Identifiers 6

Other085563NJ · Specialty Orthopaedics
Medicare ID-Type Unspecified167796NJ · Edward B. Self, Jr., M.d.
Medicare ID-Type Unspecified085565TGPNJ · David P. Rudman, M.d.
Medicare UPINH97642NJ
Medicare UPIND18650NJ
Medicare PIN085563NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

MICHAEL FALOON M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1124 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 420-7460
RS HEMATOLOGY AND ONCOLOGY ASSOCIATES PA
Internal Medicine (Hematology & Oncology)
1124 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 652-8585
GARDEN STATE CARDIOLOGY
Specialist
1124 E RIDGEWOOD AVE, SUITE 202
RIDGEWOOD, NJ 07450
Bergen County (201) 689-0091
DR. ALAN D SIMON M.D.
Internal Medicine (Cardiovascular Disease)
1124 E RIDGEWOOD AVE, SUITE 202
RIDGEWOOD, NJ 07450
Bergen County (201) 689-9400
ROBERT SAPORITO,JR MD
Internal Medicine (Cardiovascular Disease)
1124 E RIDGEWOOD AVE, STE 202
RIDGEWOOD, NJ 07450
Bergen County (201) 689-9400
DR. EUGENIA C. KUO M.D.
Obstetrics & Gynecology
1124 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 489-2255
INTEGRA MEDICAL GROUP LLC
Internal Medicine
1124 E RIDGEWOOD AVE, SUITE 103
RIDGEWOOD, NJ 07450
Bergen County (201) 447-7348
CARDIAC & ENDOVASCULAR ASSOCIATES, LLC
Internal Medicine (Cardiovascular Disease)
1124 E RIDGEWOOD AVE, SUITE 202
RIDGEWOOD, NJ 07450
Bergen County (201) 689-8070

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 Specialty Orthopaedics Of New Jersey, PA's NPI number?

The NPI number for Specialty Orthopaedics Of New Jersey, PA is 1174580807. It was assigned to this organization in the NPPES registry on April 27, 2006. The provider was formerly known as Edward B Self Jr MD Facs PA.

Where is Specialty Orthopaedics Of New Jersey, PA located?

Specialty Orthopaedics Of New Jersey, PA is located at 1124 E Ridgewood Ave 201, Ridgewood, NJ 07450. The listed phone number is (201) 447-1188.

What is Specialty Orthopaedics Of New Jersey, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Specialty Orthopaedics Of New Jersey, PA was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.