Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Orthopaedics and Sports Medicine, PA

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1659326569

Active Orthopaedics and Sports Medicine, PA is a Sports Medicine (Orthopaedic Surgery) Physician in Hackensack, 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.

See every abbreviation used in this directory →

Practice location Address checks out

25 Prospect Ave
Hackensack, NJ 07601-1960
Phone: (201) 343-2277
Fax: (201) 343-7410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 25MA5362900 (NJ)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 25MA08256500 (NJ)

Record details

NPI number1659326569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gross — President/Owner · (201) 358-0707
NPI enumeratedMay 23, 2006
Last updated in NPPESDecember 16, 2008
Mailing address390 Old Hook Rd, Westwood, NJ 07675-2616

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