Elite Spine and Sports Care of Paramus Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELITE SPINE AND SPORTS CARE OF PARAMUS CORPORATION

Practice address

37 W Century Rd Ste 111
Paramus, NJ 07652-1466

Phone

(201) 677-8667

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Gabriel Hannawi, DCNPI 1013332055

Title

Incorporator

Phone

(201) 563-7095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Jozefiak

  • Occupational Therapist
  • Fort Lee, NJ
  • NPI 1346072303
  Medicare reassignment Care Compare group NPD
• Michael Yarish, DPT

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1821567553
  Medicare reassignment Care Compare group NPD
• Gabriel Hannawi

  • Chiropractor
  • Totowa, NJ
  • NPI 1013332055
  NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1245077940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD STE 111",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD STE 111",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "201-677-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE AND SPORTS CARE OF PARAMUS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "HANNAWI",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "201-563-7095",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Medical Collective LLC
• Majdouline Elfahdi
• Karen Elfenne
• Sarah-Belle Elia
• Elite Neurospine LLC
• Samantha Ellis
• Hassan Nabil Elsaygh
• Abe Elson, MD
• Emeritus Corporation
• Emmanuel a. Lat, M.D., F.a.C.S., P.a.

• Physical Therapy Clinic/Center in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.