Healthcare Provider Details

I. General information

NPI: 1386549582
Provider Name (Legal Business Name): OIBORTHO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 JACK MARTIN BLVD
BRICK NJ
08724-7732
US

IV. Provider business mailing address

457 JACK MARTIN BLVD
BRICK NJ
08724-7732
US

V. Phone/Fax

Practice location:
  • Phone: 732-800-9000
  • Fax:
Mailing address:
  • Phone: 732-800-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RAMIL S BHATNAGAR
Title or Position: PRESIDENT
Credential: MD
Phone: 732-800-9000