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

Garden State Orthopedic and Spine Associates LLC

Organization Surgery Physician · NPI 1063784221

Garden State Orthopedic and Spine Associates LLC provides Surgery Physician services in West Orange, New Jersey. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 Prospect Ave Ste 110
West Orange, NJ 07052-4197 Not confirmed with CMS for 13 years — call before visiting
Phone: (732) 494-1655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1063784221
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGarden State Orthopedic and Spine Associates LLC
Authorized official Amy Liu — Ms · (732) 494-1655
NPI enumeratedFebruary 3, 2012
Last updated in NPPESJune 10, 2013
Mailing address475 Prospect Ave Ste 110, West Orange, NJ 07052-4197

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