OrganizationActive
Active Orthopedics and Sports Medicine, LLC
NPI 1922389600 · Sports Medicine (Orthopaedic Surgery) Physician · Hackensack, NJ
Provider details
- NPI number
- 1922389600
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michael Gross, Owner
- License
- 25MA05362900 (NJ)
Practice location
25 Prospect Ave
Hackensack, NJ 07601-1960
Phone: (201) 343-2277
Fax: (201) 343-7410
Mailing address
25 Prospect Ave
Hackensack, NJ 07601-1960
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2011-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.