Performance Rehabilitation and Sports Injury Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00586900 Issued in NJ

Legal business name

PERFORMANCE REHABILITATION AND SPORTS INJURY CENTER PC

Doing business as

Performance Rehabilitation and Integrated Medicine, PC

Practice address

459 Watchung Ave
Watchung, NJ 07069-4945

Phone

(908) 756-2424

Fax

(908) 756-2447

NPI assigned

Mar 18, 2007

Organization subpart

No

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

Authorized official

Name

Ronald Raymond Spiaggia, DC

Title

President

Phone

(908) 756-2424

Specialties & licenses 1

Addresses

Other names 1

• Performance Rehabilitation and Integrated Medicine, PC Doing business as

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1194849067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945",
            "telephone_number": "908-756-2424",
            "fax_number": "908-756-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 WATCHUNG AVE",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694945",
            "telephone_number": "908-756-2424",
            "fax_number": "908-756-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHABILITATION AND SPORTS INJURY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SPIAGGIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-756-2424",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00586900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabilitation and Integrated Medicine, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.