Healthcare Provider Details

I. General information

NPI: 1487468856
Provider Name (Legal Business Name): ANTHONY ROCCO NOTTE ORTHOPEDIC TECH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 ROUTE 34
MANASQUAN NJ
08736-1444
US

IV. Provider business mailing address

14 VAN LIEUS RD
RINGOES NJ
08551-1312
US

V. Phone/Fax

Practice location:
  • Phone: 732-800-9000
  • Fax:
Mailing address:
  • Phone: 609-743-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZX2200X
TaxonomyOrthopedic Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: