Healthcare Provider Details

I. General information

NPI: 1851255624
Provider Name (Legal Business Name): CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PARK CENTER CT STE 200
OWINGS MILLS MD
21117-5614
US

IV. Provider business mailing address

4 PARK CENTER CT STE 200
OWINGS MILLS MD
21117-5614
US

V. Phone/Fax

Practice location:
  • Phone: 410-377-8900
  • Fax: 410-377-0576
Mailing address:
  • Phone: 410-377-8900
  • Fax: 410-377-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS GROSSO
Title or Position: AUTHORIZED SIGNER
Credential:
Phone: 301-637-8712