Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Active Orthopaedics and Sports Medicine, PA

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1659326569

Active Orthopaedics and Sports Medicine, PA provides Sports Medicine (Orthopaedic Surgery) Physician services in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Prospect Ave
Hackensack, NJ 07601-1960 Not confirmed with CMS for 17 years — call before visiting
Phone: (201) 343-2277
Fax: (201) 343-7410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 25MA5362900 (NJ)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 25MA08256500 (NJ)

Record details

NPI number1659326569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gross — President/Owner · (201) 358-0707
NPI enumeratedMay 23, 2006
Last updated in NPPESDecember 16, 2008
Mailing address390 Old Hook Rd, Westwood, NJ 07675-2616

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