ORTHOPAEDIC, SPORTS MEDICINE AND REHABILITATION CENTER, LLC
NPI 1720528409
Non-Pharmacy Dispensing Site in Morganville, NJ

NPI Status: Active since March 01, 2017

Contact Information

25 KILMER DR
BUILDING 3 SUITE 104
MORGANVILLE, NJ
ZIP 07751
Phone: (732) 617-9111

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  • Organization
  • Non-Pharmacy Dispensing Site
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ORTHOPAEDIC, SPORTS MEDICINE AND REHABILITATION CENTER, LLC

This page provides the complete NPI Profile along with additional information for Orthopaedic, Sports Medicine And Rehabilitation Center, Llc, a provider established in Morganville, New Jersey operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1720528409 assigned on March 2017. The practitioner's primary taxonomy code is 332900000X with license number 25MA08297500 (NJ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Steven Lisser (Managing Member)

NPI
1720528409
Provider Name
ORTHOPAEDIC, SPORTS MEDICINE AND REHABILITATION CENTER, LLC
Entity Type
Organization
Location Address
25 KILMER DR BUILDING 3 SUITE 104 MORGANVILLE, NJ 07751
Location Phone
(732) 617-9111
Mailing Address
25 KILMER DR BUILDING 3 SUITE 104 MORGANVILLE, NJ 07751
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2017
Last Update Date
01-06-2025
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Orthopaedic, Sports Medicine And Rehabilitation Center, Llc is a medicare supplier with PTAN 20667749 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Heat & Cold Applications or Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Surgical Dressings.

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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
25MA08297500
License State
NJ
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

DR. STEVEN LISSER

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(609) 703-5097

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20667749
Accepts Medicare Assignment
YES
Provider Type List
PEDORTHIC PERSONNEL, PHYSICIAN – GENERAL PRACTICE), INDEPENDENTLY-PRACTICING PHYSICAL THERAPIST, INDEPENDENTLY-PRACTICING OCCUPATIONAL THERAPIST.
Competitive Bidding
NO

Supplies List

  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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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 1720528409, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 5 → 10 → 1 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 0 + 2 + 1 + 6 + 4 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1720528409.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Family Medicine
25 KILMER DR
MORGANVILLE, NJ 07751
Internal Medicine
25 KILMER DR
MORGANVILLE, NJ 07751
Dentist (General Practice)
25 KILMER DR, BUILDING 3, SUITE 216
MORGANVILLE, NJ 07751
Chiropractor
25 KILMER DR, BLDG. III-SUITE 101
MORGANVILLE, NJ 07751
Pediatrics
25 KILMER DR, STE 217
MORGANVILLE, NJ 07751
Clinic/Center (Physical Therapy)
25 KILMER DR, BLDG. 3, SUITE 109
MORGANVILLE, NJ 07751
Pediatrics
25 KILMER DR
MORGANVILLE, NJ 07751
Chiropractor
25 KILMER DR, BLDG 3-SUITE 101
MORGANVILLE, NJ 07751
Podiatrist (Foot & Ankle Surgery)
25 KILMER DR, STE 213
MORGANVILLE, NJ 07751
Specialist
25 KILMER DR, SUITE 104
MORGANVILLE, NJ 07751
Internal Medicine
25 KILMER DR, BLDG 3, SUITE 215
MORGANVILLE, NJ 07751
Family Medicine
25 KILMER DR, STE 105
MORGANVILLE, NJ 07751
Physical Therapist
25 KILMER DR, BLDG. 3, SUITE 109
MORGANVILLE, NJ 07751
Orthopaedic Surgery
25 KILMER DR, BUILDING 3, SUITE 104
MORGANVILLE, NJ 07751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720528409, enumerated as an "organization" on March 01, 2017.

The provider is located at 25 KILMER DR BUILDING 3 SUITE 104 MORGANVILLE, NJ 07751 and the phone number is (732) 617-9111.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.