=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386609162
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAPE ORTHOPAEDIC SURGERY ASSOCIATES, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2006
-----------------------------------------------------
Last Update Date | 01/27/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9 STITES AVE
-----------------------------------------------------
City | CAPE MAY COURT HOUSE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08210-2267
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-465-2774
-----------------------------------------------------
Fax | 609-465-1453
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 STITES AVE
-----------------------------------------------------
City | CAPE MAY COURT HOUSE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08210-2267
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-465-2774
-----------------------------------------------------
Fax | 609-465-1453
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. THOMAS R BARRETT
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 609-465-2774
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 25MA06906400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------