NORTH JERSEY ORTHOPEDIC SPORTS TRAUMA INSTITUTE E LLC
NPI 1275924904
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Fair Lawn, NJ
NPI Status: Active since February 17, 2015
Contact Information
15-01 BROADWAY STE 20
FAIR LAWN, NJ
ZIP 07410
Phone: (847) 275-3633
- Organization
- Orthopaedic Surgery
- Adult Reconstructive Orthopaedic Surgery
- CLIA Number: 31D2165154
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 04-21-2027
About NORTH JERSEY ORTHOPEDIC SPORTS TRAUMA INSTITUTE E LLC
This page provides the complete NPI Profile along with additional information for North Jersey Orthopedic Sports Trauma Institute E Llc, a provider established in Fair Lawn, New Jersey operating as a Orthopaedic Surgery, focusing in adult reconstructive orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1275924904 assigned on February 2015. The practitioner's primary taxonomy code is 207XS0114X with license number 25MA05165000 (NJ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert Greenblum (Md)
- NPI
- 1275924904
- Provider Name
- NORTH JERSEY ORTHOPEDIC SPORTS TRAUMA INSTITUTE E LLC
- Entity Type
- Organization
- Location Address
- 15-01 BROADWAY STE 20 FAIR LAWN, NJ 07410
- Location Phone
- (847) 275-3633
- Mailing Address
- 15-01 BROADWAY STE 20 FAIR LAWN, NJ 07410
- Mailing Phone
- (847) 275-3633
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-17-2015
- Last Update Date
- 02-17-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery
- Taxonomy Code
- 207XS0114X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA05165000
- License State
- NJ
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1C528813BMM | MEDICARE UPIN (02) | NJ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2165154
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- April 22, 2025
- Certificate Expiration Date
- April 21, 2027
- Laboratory Director
- JAY H. JONAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Jersey Orthopedic Sports Trauma Institute E Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275924904, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275924904, enumerated as an "organization" on February 17, 2015.
The provider is located at 15-01 BROADWAY STE 20 FAIR LAWN, NJ 07410 and the phone number is (847) 275-3633.
Orthopaedic Surgery with taxonomy code 207XS0114X and a focus in Adult Reconstructive Orthopaedic Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
