Healthcare Provider Details

I. General information

NPI: 1538098025
Provider Name (Legal Business Name): MZM ORTHOPEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 ALLWOOD RD
CLIFTON NJ
07012-6800
US

IV. Provider business mailing address

495 ALLWOOD RD UNIT 1237
CLIFTON NJ
07012-6811
US

V. Phone/Fax

Practice location:
  • Phone: 201-588-3801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDREA VASQUEZ
Title or Position: MANAGER
Credential:
Phone: 201-588-3801