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NPI 1619025038

North Jersey Sports Medicine and Orthopedic Center LLC

Specialist · Hackettstown, NJ

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 2:58 am EDT

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North Jersey Sports Medicine and Orthopedic Center LLC is a health care organization (Specialist) in Hackettstown, New Jersey with National Provider Identifier (NPI) 1619025038. The NPI was issued on Jan 8, 2007 and the registry record was last updated on Nov 6, 2009. The registry lists 2 licenses in New Jersey.

Registry record

NPI
1619025038
Type
Organization (NPI-2)
Primary specialty
Specialist 174400000X
Practice location
108 Bilby Road, Suite 201
Hackettstown, NJ 07840
Phone
(908) 684-3005
NPI issued
Jan 8, 2007
Registry record updated
Nov 6, 2009
Authorized official
Doree Vandenbergh, Credentialer/Director

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Specialist Primary174400000XNew Jersey25MB06971100
Specialist174400000XNew Jersey25MB06992500

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Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.