Garden State Sports Medicine LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

GARDEN STATE SPORTS MEDICINE LLC

Practice address

3799 Route 46 Ste 110
Parsippany, NJ 07054-1060

Phone

(724) 381-1313

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Valvano, DONPI 1396088076

Title

Owner

Phone

(862) 217-4355

Specialties & licenses 2

Addresses

Other names 1

• GS Sports Med Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin David Valvano, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Easton, PA
  • NPI 1396088076

  NJ

  Medicare reassignment NPD Authorized official
• Daniel Chappell

  • Physical Therapist
  • Paramus, NJ
  • NPI 1548998537
  NPD
• Jeffrey Michael Long, PT, DPT

  • Physical Therapist
  • Springfield, NJ
  • NPI 1497224935
  NPD
• Ethan Wolff, PT, DPT

  • Physical Therapist
  • Cresskill, NJ
  • NPI 1942966296
  NPD
• Fady Abdelfady Youssef, DPT

  • Physical Therapist
  • Parsippany, NJ
  • NPI 1912476193
  NPD
• Sami Jamal

  • Physical Therapist
  • Davie, FL
  • NPI 1487267357
  NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1043027634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 US HIGHWAY 46 STE 110",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541060",
            "telephone_number": "812-217-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 ROUTE 46 STE 110",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541060",
            "telephone_number": "724-381-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "VALVANO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-217-4355",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GS Sports Med",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GS Sports Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela P Garces, APN
• Christine Garcia, LAC., LMT
• Garden State Eye and Vision LLC
• Garden State Oral Surgery PA
• Garden State Orthopaedic Associates,P.a.
• Daniel Joseph Gardner
• Disha Gehani, IBCLC
• Cassandra Generelli, BCBA
• Genoa Healthcare LLC
• George Lawrence Inc

• Sports Medicine (Family Medicine) Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.