Elite Sports Medicine and Wellness LLC
Organization Active NPI Sports Medicine (Family Medicine) Physician · Cresskill, NJ
NPI 1306350830 · NPPES record last updated Nov 20, 2017
Key facts
- NPI
- 1306350830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 25MA09267900 (NJ)
- Legal business name
- ELITE SPORTS MEDICINE AND WELLNESS LLC
- Practice address
- 46 Union Ave
Cresskill, NJ 07626-2125 - Phone
- (201) 431-5115
- Fax
- (201) 399-7697
- NPI assigned
- Nov 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Shai Shoshani, MD
- Title
- Owner/Physician
- Phone
- (201) 431-5115
National Provider Directory
Locations
46 Union Ave
Cresskill, NJ 07626
Phone (201) 205-2172
Interoperability endpoints
- https://api.platform.athenahealth.com/17094/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician |
207QS0010X | 25MA09267900 | NJ | Yes |
Addresses
Primary practice location
46 Union Ave
Cresskill, NJ 07626-2125
Mailing address
46 Union Ave
Cresskill, NJ 07626-2125
Phone (201) 431-5115
Other providers in Cresskill, NJ
- Allison Egert
- Neil Alan Eisler
- Ashley Elia
- Jaime B Elia
- Jaime Elias
- Juri Endo
- Eye Experience Co
- Anjelica Fahey
- Fair Hill Podiatry PC
- Jennifer S Favieri
All providers in Cresskill, NJ · Sports Medicine (Family Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.