Healthcare Provider Details

I. General information

NPI: 1639045537
Provider Name (Legal Business Name): AMER ORTHOPAEDIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MAIN AVE STE 3A
CLIFTON NJ
07011-2266
US

IV. Provider business mailing address

1300 MAIN AVE STE 3A
CLIFTON NJ
07011-2266
US

V. Phone/Fax

Practice location:
  • Phone: 848-228-9359
  • Fax:
Mailing address:
  • Phone: 848-228-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: PAYAL PATEL
Title or Position: MANAGER
Credential:
Phone: 848-228-9359