Precision Sports and Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00647700 Issued in NJ

Legal business name

PRECISION SPORTS AND SPINE LLC

Practice address

1091 US Highway 9
Powerhouse Gym of Old Bridge C/O Precision Spine
Old Bridge, NJ 08857-2877

Phone

(201) 994-9782

NPI assigned

Feb 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Marinkovic, DC

Title

Chiropractor

Phone

(201) 994-9782

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1013456680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SULESKI CT",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 US HIGHWAY 9",
            "address_2": "POWERHOUSE GYM OF OLD BRIDGE C/O PRECISION SPINE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572877",
            "telephone_number": "201-994-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPORTS AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "MARINKOVIC",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "201-994-9782",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00647700",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01449100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Chiropractic and Sports Medicine PC
• Plaza Chiropractic Center
• Erich Vincent Polst, MSAT, LAT, ATC
• Amit Poonia, M.D.
• Sheilah Powell, BACHELOR'S OF ARTS
• Preferred Care at Old Bridge LLC
• Premier Health New Jersey, LLC
• Premier Urology Group LLC
• Prestige Medical Care LLC
• Craig C Price, MD

• Chiropractor in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.