ACTIVE ORTHOPEDICS AND SPORTS MEDICINE, LLC
NPI 1922389600
Orthopaedic Surgery - Sports Medicine in Hackensack, NJ

Q: What is Active Orthopedics And Sports Medicine, LLC's specialty?

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

Active since September 08, 2011

25 PROSPECT AVE, HACKENSACK, NJ 07601(201) 343-2277(201) 343-7410 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Active Orthopedics And Sports Medicine, Llc NPPES

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

ACTIVE ORTHOPEDICS AND SPORTS MEDICINE, LLC (NPI 1922389600) is a healthcare organization registered as a sports medicine in Hackensack, New Jersey and active in the NPI registry since September 2011. The organization lists Michael L. Gross, Owner, as its authorized official.

NPPES Registry Identity

NPI1922389600

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameACTIVE ORTHOPEDICS AND SPORTS MEDICINE, LLC

Location Address25 PROSPECT AVEHackensack, NJ 07601-1960

Mailing Address25 Prospect AveHackensack, NJ 07601-1960 · (201) 343-2277 · Fax (201) 343-7410

Phone(201) 343-2277

Fax(201) 343-7410

Organization SubpartNo

Authorized OfficialMichael L. GrossOwner · (201) 343-2277

Enumeration DateSeptember 8, 2011

✔ NPI 1922389600 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 · 25MA05362900

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.

25 PROSPECT AVE, Hackensack, NJ 07601

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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)

Active Orthopedics And Sports Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 16 clinicians reassign Medicare billing to Active Orthopedics And Sports Medicine, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Orthopedic Surgery9

Podiatry4

Physical Medicine and Rehabilitation2

Hand Surgery1

Clinicians, nearest first (16)

Thomas John, M.D.

Orthopedic Surgery

NPI 1104021427

25 PROSPECT AVE.
Hackensack, NJ 07601

(201) 358-0707

✔ PECOS✔ Accepts MedicareSame address

James Natalicchio, M.D.

Physical Medicine and Rehabilitation

NPI 1265409205

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Oscar Vazquez, M.D.

Orthopedic Surgery

NPI 1063608875

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Michael Benke, MD

Orthopedic Surgery

NPI 1649432261

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Angela Giuffrida, MD

Hand Surgery

NPI 1457562548

25 PROSPECT AVE STE 1
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Michael Gross, M.D.

Orthopedic Surgery

NPI 1396712337

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOSSame address

Carissa Meyer, MD

Orthopedic Surgery

NPI 1831324227

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Ana Pimentel, D.P.M.

Podiatry

NPI 1528516663

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Richard Rhim, M.D.

Orthopedic Surgery

NPI 1154588937

25 PROSPECT AVE
Hackensack, NJ 07601

(201) 343-2277

✔ PECOS✔ Accepts MedicareSame address

Stephen Silver, MD

Orthopedic Surgery

NPI 1932293255

360 ESSEX ST STE 203
Hackensack, NJ 07601

(551) 996-5386

✔ PECOS✔ Accepts Medicare0.1 mi

Justin Mendoza, D.O.

Physical Medicine and Rehabilitation

NPI 1316101389

440 OLD HOOK RD
Emerson, NJ 07630

(201) 358-0707

✔ PECOS✔ Accepts Medicare7.3 mi

Ralph Napoli, D.P.M.

Podiatry

NPI 1487614467

440 OLD HOOK RD
Emerson, NJ 07630

(201) 358-0707

✔ PECOS✔ Accepts Medicare7.3 mi

Mark Chase, MD

Orthopedic Surgery

NPI 1699849711

311 BAY AVE STE 203
Glen Ridge, NJ 07028

(973) 746-2200

✔ PECOS✔ Accepts Medicare9.1 mi

John Mendes, M.D.

Orthopedic Surgery

NPI 1558434803

1 BAY AVE 2NORTH
Montclair, NJ 07042

(973) 680-7831

✔ PECOS9.1 mi

Melissa Rossi

Podiatry

NPI 1811341068

54 BAKER AVENUE EXT STE 301
Concord, MA 01742

(978) 369-5282

✔ PECOS176 mi

Shruti Patel, DPM

Podiatry

NPI 1992187082

8320 OLD COURTHOUSE RD STE 401
Vienna, VA 22182

(571) 619-8923

✔ PECOS✔ Accepts Medicare217 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 Active Orthopedics And Sports Medicine, LLC's NPI number?

The NPI number for Active Orthopedics And Sports Medicine, LLC is 1922389600. It was assigned to this organization in the NPPES registry on September 8, 2011.

Where is Active Orthopedics And Sports Medicine, LLC located?

Active Orthopedics And Sports Medicine, LLC is located at 25 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 343-2277.

What is Active Orthopedics And Sports Medicine, LLC's specialty?

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

Is Active Orthopedics And Sports Medicine, LLC enrolled in Medicare?

Yes. Active Orthopedics And Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Orthopedics And Sports Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Active Orthopedics And Sports Medicine, LLC. 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. The largest specialties are Orthopedic Surgery (9), Podiatry (4) and Physical Medicine and Rehabilitation (2). Of these, 9 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Active Orthopedics And Sports Medicine, LLC was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.