OrganizationActive
Active Orthopaedics and Sports Medicine, PA
NPI 1659326569 · Sports Medicine (Orthopaedic Surgery) Physician · Hackensack, NJ
Provider details
- NPI number
- 1659326569
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michael Gross, President/Owner
- License
- 25MA08256500 (NJ)
Practice location
25 Prospect Ave
Hackensack, NJ 07601-1960
Phone: (201) 343-2277
Fax: (201) 343-7410
Mailing address
390 Old Hook Rd
Westwood, NJ 07675-2616
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2008-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.