Summit Spine & Sport, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC05176 Issued in NJ

Legal business name

SUMMIT SPINE & SPORT, LLC

Doing business as

Morris Spine & Sport

Practice address

12 James St
Morristown, NJ 07960-5942

Phone

(973) 285-0888

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Daub, D.C.

Title

Owner

Phone

(908) 451-5641

Specialties & licenses 1

Addresses

Other names 1

• Morris Spine & Sport Doing business as

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1205091618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUSSEX CT",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JAMES ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605942",
            "telephone_number": "973-285-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPINE & SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "DAUB",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-451-5641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mosammath Rebeka Sultana, MD
• Sabiha Sultana, LSW
• Jennifer Sumerlin, PSYD, MFT
• Joanne Summer, CCC-SLP
• Summit Medical Group PA
• Jenna Mae Sumner, LPC
• Diana Sung, MD
• Sitara Sunny, M.D
• Linda Rohonyi Suplicki, RN, MSN, APN, C.
• Surgical Specialists of New Jersey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.