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Reconstructive Orthopedics, P.A.

Orthopaedic Surgery Physician in Vineland, NJ · enumerated 2014 · authorized official Amy Mickle, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679979090

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Registry record

Entity type Organization (Type 2)
Legal business name Reconstructive Orthopedics, P.A.
Parent organization Reconstructive Orthopedics, P.A,
Practice address 994 W Sherman Ave, Building 1, Vineland, NJ, 08360
Enumeration date Nov 12, 2014
Last updated in NPPES Nov 12, 2014

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Amy Mickle
Title Credentialing Specialist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Reconstructive Orthopedics, P.A.?
The NPI for Reconstructive Orthopedics, P.A. is 1679979090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Reconstructive Orthopedics, P.A.?
NPPES lists Amy Mickle (Credentialing Specialist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-12.