Healthcare Provider Details

I. General information

NPI: 1083831325
Provider Name (Legal Business Name): STUART A ORT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 ROUTE 1 SOUTH - SUITE 350 BLDG. B, 3RD FLOOR
ISELIN NJ
17033-2360
US

IV. Provider business mailing address

660 WHITE PLAINS RD FL 4
TARRYTOWN NY
10591-5139
US

V. Phone/Fax

Practice location:
  • Phone: 732-549-4120
  • Fax: 732-549-7250
Mailing address:
  • Phone: 914-984-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number25MA09880500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number25MA09880500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: