ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
NPI 1679637052
Orthopaedic Surgery - Sports Medicine in Holmdel, NJ

Active since December 20, 2006
719 NORTH BEERS ST, SUITE C-1, HOLMDEL, NJ 07733(732) 888-2100(732) 888-2188 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC

This page provides the complete NPI Profile along with additional information for Orthopaedic And Sports Medicine Specialists, Inc, a provider established in Holmdel, New Jersey operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1679637052 assigned on December 2006. The practitioner's primary taxonomy code is 207XX0005X with license number 25MA07887100 (NJ). The provider is registered as an organization and their NPI record was last updated 6 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 David Lopez Md (Owner)

NPI
1679637052 Verify this NPI
Provider Name
ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
Entity Type
Organization
Location Address
719 NORTH BEERS ST SUITE C-1 HOLMDEL, NJ 07733
Location Phone
(732) 888-2100
Location Fax
(732) 888-2188
Mailing Address
PO BOX 549 HOLMDEL, NJ 07733
Mailing Phone
(732) 888-2100
Mailing Fax
(732) 888-2188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
08-22-2020
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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 Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
25MA07887100
License State
NJ
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID LOPEZ MD

Authorized Official Title
OWNER
Authorized Official Phone
(732) 888-2100

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
0082295MEDICAID (05)NJ 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679637052, enumerated as an "organization" on December 20, 2006.

The provider is located at 719 NORTH BEERS ST SUITE C-1 HOLMDEL, NJ 07733 and the phone number is (732) 888-2100.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.