Healthcare Provider Details

I. General information

NPI: 1144992108
Provider Name (Legal Business Name): ORTHONJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 MACARTHUR BLVD
MAHWAH NJ
07430-3618
US

IV. Provider business mailing address

PO BOX 746755
ATLANTA GA
30374-6755
US

V. Phone/Fax

Practice location:
  • Phone: 201-316-8449
  • Fax: 201-445-7471
Mailing address:
  • Phone:
  • Fax:

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: JEFF BROWN
Title or Position: COO
Credential:
Phone: 908-259-2722