Provider Demographics
NPI:1366611550
Name:LIVINGSTON ORTHOPAEDIC GROUP, PA
Entity type:Organization
Organization Name:LIVINGSTON ORTHOPAEDIC GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:H
Authorized Official - Middle Name:MAHMOOD
Authorized Official - Last Name:CHEEMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-994-0600
Mailing Address - Street 1:201 S LIVINGSTON AVE
Mailing Address - Street 2:STE 1C
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4043
Mailing Address - Country:US
Mailing Address - Phone:973-994-0600
Mailing Address - Fax:973-994-5182
Practice Address - Street 1:201 S LIVINGSTON AVE
Practice Address - Street 2:STE 1C
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4043
Practice Address - Country:US
Practice Address - Phone:973-994-0600
Practice Address - Fax:973-994-5182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ526654Medicare PIN