RSM Sports and Rehab LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

RSM SPORTS AND REHAB LLC

Practice address

700 Bangs Ave Unit 214
Asbury Park, NJ 07712-6958

Phone

(212) 421-1969

Fax

(212) 223-0198

NPI assigned

Jan 14, 2020

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Dinkin, DCNPI 1588120851

Title

Owner

Phone

(212) 421-1969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Scott Dinkin, DC

  • Chiropractor
  • South Plainfield, NJ
  • NPI 1588120851
  NPD (past) Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1063052322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BANGS AVE UNIT 214",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126958",
            "telephone_number": "212-421-1969",
            "fax_number": "212-223-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BANGS AVE UNIT 214",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126958",
            "telephone_number": "212-421-1969",
            "fax_number": "212-223-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSM SPORTS AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "DINKIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-421-1969",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Asbury Park, NJ
• Providers in Asbury Park, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.