Organization · Type 2 NPI

North Jersey Sports Medicine & Orthopedic Center, LLC

Specialist · Randolph, NJ

NPI number 1013342609 Active

Practice location

711 Route 10 E Ste 100
Randolph, NJ 07869-2030

Call (908) 684-3005 Map

Fax (908) 684-3301

Mailing address

376 Lafayette Rd Ste 202
Sparta, NJ 07871-3560

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	25MB06971100 (NJ)
Specialist	174400000X	25MB06992500 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

North Jersey Sports Medicine & Orthopedic Center, LLCOrthopaedic Surgery Physician Randolph, NJ NPI 1992383780

NPI record

NPI: 1013342609
Entity type: Organization (Type 2)
Issued: Sep 13, 2013
Last updated: Oct 7, 2025
Status: Active
Subpart: Yes of North Jersey Sports Medicine & Orthopedic C

Other names

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The Orthopedic Institute of NJ · doing business as

Authorized official

Dr. Robert A Defalco, MD
Owner
(908) 684-3005

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013342609

North Jersey Sports Medicine & Orthopedic Center, LLC's National Provider Identifier is 1013342609, issued on Sep 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Randolph, NJ. The record was last updated on Oct 7, 2025.