NPIMap

Organization Active NPI

Sports Medicine Center of Bergen, PA

  • Physical Therapist
  • Summit, NJ
National Provider Identifier
1346730645
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS MEDICINE CENTER OF BERGEN, PA
Practice address
33 Union PL
Summit, NJ 07901-3650
Phone
(908) 738-1661
NPI assigned
May 14, 2018
Organization subpart
Yes
Parent organization
SPORTS MEDICINE CENTER OF BERGEN, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Kimberly Hunter
Title
Admin MGR
Phone
(201) 488-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

33 Union PL
Summit, NJ 07901-3650

Mailing address

605 Main St
Hackensack, NJ 07601-5914
Phone (201) 488-0488

Other practice location 1

605 Main St
Hackensack, NJ 07601-5914
Phone (201) 488-0488

Other practice location 2

1 Elm St
Westfield, NJ 07090-2194
Phone (908) 543-4005

Other names 1

  • Excel Orthopedic Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excel Orthopedic Rehabi8 organizations share this tax ID, including this one
Part of
Excel Orthopedic Rehabi

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Elm St
Westfield, NJ 07090
Phone (908) 543-4005

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1346730645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488",
            "fax_number": "201-343-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UNION PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013650",
            "telephone_number": "908-738-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Main St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076015914",
            "country_code": "US",
            "telephone_number": "201-488-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Elm St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902194",
            "country_code": "US",
            "telephone_number": "908-543-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS MEDICINE CENTER OF BERGEN, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS MEDICINE CENTER OF BERGEN, PA",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMIN MGR",
        "authorized_official_telephone_number": "201-488-0488"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Orthopedic Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.