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

Specialty Orthopaedics of New Jersey, PA

Organization Specialist · NPI 1174580807

Specialty Orthopaedics of New Jersey, PA is a Specialist in Ridgewood, 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.

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Practice location Address checks out

1124 E Ridgewood Ave 201
Ridgewood, NJ 07450-3915
Phone: (201) 447-1188
Fax: (201) 447-8935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA33233 (NJ)
Specialist Taxonomy 174400000X · Licence 25MA07771200 (NJ)

Record details

NPI number1174580807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Rudman — President · (201) 447-1188
Other names Edward B Self Jr Md Facs Pa
NPI enumeratedApril 27, 2006
Last updated in NPPESOctober 7, 2011
Mailing address1124 E Ridgewood Ave, 201, Ridgewood, NJ 07450-3915

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