Organization Active NPI

Sports Health and Medical Associates of New Jersey, LLC

  • Sports Medicine (Family Medicine) Physician
  • Morristown, NJ
National Provider Identifier
1255649620
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SPORTS HEALTH AND MEDICAL ASSOCIATES OF NEW JERSEY, LLC
Practice address
310 Madison Ave
C/O Atlantic Neurosurgical Specialties
Morristown, NJ 07960-6967
Phone
(973) 404-0323
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Robb S Rehberg, PHD
Title
Administrator
Phone
(973) 404-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X NJ Primary

Addresses

Primary practice location

310 Madison Ave
C/O Atlantic Neurosurgical Specialties
Morristown, NJ 07960-6967

Mailing address

PO Box 36
Towaco, NJ 07082-0036
Phone (973) 404-0323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1255649620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070820036",
            "telephone_number": "973-404-0323",
            "fax_number": "866-217-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "C/O ATLANTIC NEUROSURGICAL SPECIALTIES",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-404-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS HEALTH AND MEDICAL ASSOCIATES OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "REHBERG",
        "authorized_official_first_name": "ROBB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-404-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.