MEDICARE: CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1184588584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Provider Business Mailing Address
First Line	:	120 WESTMINSTER PIKE STE 200
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1027
Country	:	US
Telephone Number	:	410-377-8900
Fax Number	:	410-377-0576

Provider Business Practice Location Address
First Line	:	120 WESTMINSTER PIKE STE 200
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1027
Country	:	US
Telephone Number	:	410-377-8900
Fax Number	:	410-377-0576

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	NICHOLAS GROSSO
Credential	:	MD
Telephone Number	:	301-637-8712

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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