MAM ORTHOPAEDICS, PA
NPI 1215248299
Orthopaedic Surgery - Sports Medicine in Hackensack, NJ

Active since June 24, 2010
17 ELM AVE, HACKENSACK, NJ 07601(201) 968-0508(201) 968-0509 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, Mar 4, 2020, Jan 22, 2020 (3 updates tracked since 2020).

About Mam Orthopaedics, Pa NPPES

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

MAM ORTHOPAEDICS, PA (NPI 1215248299), doing business as Sports Medicine And Orthopaedic Center Of New Jersey, is a healthcare organization registered as a sports medicine in Hackensack, New Jersey and active in the NPI registry since June 2010. The organization lists Michael A. Meese, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1215248299
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameMAM ORTHOPAEDICS, PA
Location Address17 ELM AVEHackensack, NJ 07601-4702
Mailing Address17 Elm AveHackensack, NJ 07601-4702 · (201) 968-0508 · Fax (201) 968-0509
Fax(201) 968-0509
Organization SubpartNo
Authorized OfficialMichael A. MeeseMedical Doctor · (201) 968-0508
Enumeration DateJune 24, 2010
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1215248299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NJ · 25MA05232100
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
17 ELM AVE, Hackensack, NJ 07601

Other Names 2

Doing Business AsSports Medicine And Orthopaedic Center Of New Jersey
Other NameMeese Sports Medicine And Orthopaedic Center

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mam Orthopaedics, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20200319000927DME · Physician - Orthopedic/Orthopedic SurgeryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mam Orthopaedics, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Orthopedic Surgery
NPI 1588773758
17 ELM AVE
Hackensack, NJ 07601
(201) 968-0508
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720290604
204 HAASE AVE
Paramus, NJ 07652
(201) 265-2314
✔ PECOS✔ Accepts Medicare2.3 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 Mam Orthopaedics, PA's NPI number?

The NPI number for Mam Orthopaedics, PA is 1215248299. It was assigned to this organization in the NPPES registry on June 24, 2010. The provider is doing business as Sports Medicine and Orthopaedic Center of New Jersey. The provider is also known as Meese Sports Medicine And Orthopaedic Center.

Where is Mam Orthopaedics, PA located?

Mam Orthopaedics, PA is located at 17 Elm Ave, Hackensack, NJ 07601. The listed phone number is (201) 968-0508.

What is Mam Orthopaedics, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mam Orthopaedics, PA enrolled in Medicare?

Yes. Mam Orthopaedics, PA is registered in the Medicare PECOS enrollment system.

When is Mam Orthopaedics, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mam Orthopaedics, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mam Orthopaedics, PA, in Nurse Practitioner and Orthopedic Surgery. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mam Orthopaedics, PA was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.