NPI Code Details Logo

NPI 1215978630

NPI 1215978630 : ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC : MARLTON, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1215978630
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/09/2006
-----------------------------------------------------
    Last Update Date     |    04/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    999 ROUTE 73 N FL 34 
-----------------------------------------------------
    City                 |    MARLTON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08053-1227
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-321-9999
-----------------------------------------------------
    Fax                  |    267-479-1321
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    833 CHESTNUT ST STE 520 
-----------------------------------------------------
    City                 |    PHILADELPHIA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19107-4430
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-677-7003
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR OF BUSINESS OFFICE
-----------------------------------------------------
    Name                 |     KELLI  HUBER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    267-338-3690
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QS0010X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.