North Jersey Sports Medicine and Orthopedic Center
NPI 1609311398ActiveOrganization· Physician Assistant· Hackettstown, NJ
Physician Assistant in Hackettstown, New Jersey, registered in NPPES in January 2017. The authorized official on file is Robert A. Defalco, DO, Managing Partner.
Overview
| NPI | 1609311398 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2017 |
| Last updated in NPPES | Jan 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00420400 | NJ |
| Physician Assistant, Surgical | 363AS0400X | 25MP00420400 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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