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

Specialty Orthopaedics of New Jersey, PA

Organization Specialist · NPI 1174580807

Specialty Orthopaedics of New Jersey, PA provides Specialist services in Ridgewood, 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

1124 E Ridgewood Ave 201
Ridgewood, NJ 07450-3915 Not confirmed with CMS for 15 years — call before visiting
Phone: (201) 447-1188
Fax: (201) 447-8935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA33233 (NJ)
Specialist Taxonomy 174400000X · Licence 25MA07771200 (NJ)

Record details

NPI number1174580807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Rudman — President · (201) 447-1188
Other names Edward B Self Jr Md Facs Pa
NPI enumeratedApril 27, 2006
Last updated in NPPESOctober 7, 2011
Mailing address1124 E Ridgewood Ave, 201, Ridgewood, NJ 07450-3915

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