CENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER
NPI 1710151014
Orthopaedic Surgery in Lakewood, NJ

Active since April 17, 2008
101 PROSPECT ST, SUITE 107, LAKEWOOD, NJ 08701(732) 905-8153 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Jersey Sports Medicine & Orthopaedic Center NPPES

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

CENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER (NPI 1710151014) is a healthcare organization registered as an orthopaedic surgery in Lakewood, New Jersey and active in the NPI registry since April 2008. The organization lists Andrew Harrison, President, as its authorized official.

NPPES Registry Identity

NPI1710151014
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER
Location Address101 PROSPECT ST, SUITE 107Lakewood, NJ 08701-5020
Mailing Address101 Prospect St, Suite 107Lakewood, NJ 08701-5020 · (732) 905-8153
Organization SubpartNo
Authorized OfficialAndrew HarrisonPresident · (732) 905-8153
Enumeration DateApril 17, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1710151014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · 25MA06286400
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 25MA06286400 (NJ)
101 PROSPECT ST, Lakewood, NJ 08701

Other Identifiers 5

Medicare PIN125337NJ
Other200025845NJ · Railroad Medicare
Medicare UPING11789NJ
Medicaid0101389NJ
Other6009584NJ · Ghi

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Jersey Sports Medicine & Orthopaedic Center 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 Central Jersey Sports Medicine & Orthopaedic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1457303166
101 PROSPECT ST SUITE 107
Lakewood, NJ 08701
(732) 905-8153
✔ PECOS✔ Accepts MedicareSame address

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 Central Jersey Sports Medicine & Orthopaedic Center's NPI number?

The NPI number for Central Jersey Sports Medicine & Orthopaedic Center is 1710151014. It was assigned to this organization in the NPPES registry on April 17, 2008.

Where is Central Jersey Sports Medicine & Orthopaedic Center located?

Central Jersey Sports Medicine & Orthopaedic Center is located at 101 Prospect St Suite 107, Lakewood, NJ 08701. The listed phone number is (732) 905-8153.

What is Central Jersey Sports Medicine & Orthopaedic Center's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Central Jersey Sports Medicine & Orthopaedic Center enrolled in Medicare?

Yes. Central Jersey Sports Medicine & Orthopaedic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Jersey Sports Medicine & Orthopaedic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Central Jersey Sports Medicine & Orthopaedic Center. 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 Central Jersey Sports Medicine & Orthopaedic Center was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.