Active Orthopedics and Sports Medicine, LLC
NPI 1922389600ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Hackensack, NJ
Orthopaedic Surgery, Sports Medicine in Hackensack, New Jersey, registered in NPPES in September 2011. The authorized official on file is Michael L. Gross, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922389600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2011 |
| Last updated in NPPES | Sep 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 25MA05362900 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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