Sports Medicine Center of Bergen, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS MEDICINE CENTER OF BERGEN, PA

Practice address

32 Piermont Rd
Cresskill, NJ 07626-2148

Phone

(201) 567-0044

NPI assigned

May 6, 2011

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 Orthopedic Rehabilitation Doing business as

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1124310388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PIERMONT RD",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262148",
            "telephone_number": "201-567-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE CENTER OF BERGEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "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": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Orthopedic Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Simon, M.D.
• SJV 1 Cresskill Opco LLC
• Bridget Smith, LSW
• Une Ho Song, L.AC. DIPL.O.M.
• Madison Victoria Spina, APN-C
• Lisa Sternbach, LCSW
• Donna M Strauss-Russo, LCSW
• Rudolph John Streemke III, D.M.D.
• Lindsay Sullivan, LCSW
• Sunrise Senior Living Management, Inc

• Physical Therapist in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• 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.