NORTH JERSEY ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE
NPI 1215261037
Orthopaedic Surgery - Sports Medicine in Clifton, NJ

Q: What is North Jersey Orthopaedic & Sports Medicine Institute's specialty?

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

Active since September 25, 2009

6 BRIGHTON RD STE 101, CLIFTON, NJ 07012(973) 340-1940(973) 340-1958 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About North Jersey Orthopaedic & Sports Medicine Institute NPPES

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

NORTH JERSEY ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE (NPI 1215261037) is a healthcare organization registered as a sports medicine in Clifton, New Jersey and active in the NPI registry since September 2009. The organization lists Michael C Russonella, Owner, as its authorized official.

NPPES Registry Identity

NPI1215261037

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameNORTH JERSEY ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE

Location Address6 BRIGHTON RD STE 101Clifton, NJ 07012-1647

Mailing Address6 Brighton Rd Ste 101Clifton, NJ 07012-1647 · (973) 340-1940 · Fax (973) 340-1958

Phone(973) 340-1940

Fax(973) 340-1958

Organization SubpartNo

Authorized OfficialMichael C RussonellaOwner · (973) 340-1940

Enumeration DateSeptember 25, 2009

Last NPPES UpdateJanuary 14, 2016

✔ NPI 1215261037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in NJ · 25MB08615500

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.

6 BRIGHTON RD STE 101, Clifton, NJ 07012

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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)

North Jersey Orthopaedic & Sports Medicine Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Jersey Orthopaedic & Sports Medicine Institute, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Russonella, DO

Orthopedic Surgery

NPI 1255542486

6 BRIGHTON ROAD STE 101 NORTH JERSEY ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE LL
Clifton, NJ 07012

(973) 340-1940

✔ PECOS✔ Accepts Medicare0.1 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 North Jersey Orthopaedic & Sports Medicine Institute's NPI number?

The NPI number for North Jersey Orthopaedic & Sports Medicine Institute is 1215261037. It was assigned to this organization in the NPPES registry on September 25, 2009.

Where is North Jersey Orthopaedic & Sports Medicine Institute located?

North Jersey Orthopaedic & Sports Medicine Institute is located at 6 Brighton Rd Ste 101, Clifton, NJ 07012. The listed phone number is (973) 340-1940.

What is North Jersey Orthopaedic & Sports Medicine Institute's specialty?

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

Is North Jersey Orthopaedic & Sports Medicine Institute enrolled in Medicare?

Yes. North Jersey Orthopaedic & Sports Medicine Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Jersey Orthopaedic & Sports Medicine Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to North Jersey Orthopaedic & Sports Medicine Institute. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Jersey Orthopaedic & Sports Medicine Institute was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.