Sports Medicine Center of Bergen, PA

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SPORTS MEDICINE CENTER OF BERGEN, PA

Doing business as

Excel Orthpoedic Rehabilitation

Practice address

100 Bauer Dr
Oakland, NJ 07436-3105

Phone

(201) 651-0121

Fax

(201) 651-0124

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary Flink, P.T.

Title

Vice President

Phone

(201) 488-0488

Specialties & licenses 1

Addresses

Other names 1

• Excel Orthpoedic Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1104940592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAUER DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363105",
            "telephone_number": "201-651-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAUER DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363105",
            "telephone_number": "201-651-0121",
            "fax_number": "201-651-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE CENTER OF BERGEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "FLINK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-488-0488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Orthpoedic Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vandana Singh, PT
• Madison Sisco, OTR/L
• Anita B Skolnick, DDS
• Christine Jane Sosa, RPH
• Sparkes Acupuncture LLC
• Courtney St Germain
• Danielle Staropoli, BCBA, LBA
• Connor Starr, DC
• Evelyn S. Stein, LCSW
• Elizabeth Steussing, BCBA

• Orthopedic Physical Therapist in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.