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

Reconstructive Orthopedics, PA

Organization Orthopaedic Surgery Physician · NPI 1679979090

Reconstructive Orthopedics, PA is an Orthopaedic Surgery Physician in Vineland, New Jersey. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5
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

994 W Sherman Ave Bldg 1
Vineland, NJ 08360-6937
Phone: (856) 696-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1679979090
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationReconstructive Orthopedics, PA
Authorized official Amy Mickle — Credentialing Specialist · (609) 267-9400
NPI enumeratedNovember 12, 2014
Last updated in NPPESNovember 12, 2014
Mailing address4 Eves Dr # A, Suite 100, Marlton, NJ 08053-3195

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