Progressive Spine & Sports Medicine

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25MB08770900 Issued in NJ

Legal business name

PROGRESSIVE SPINE & SPORTS MEDICINE

Practice address

48 S Franklin Tpke
Suite 101
Ramsey, NJ 07446-2558

Phone

(201) 962-9199

Fax

(201) 962-9198

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M McElroy, D.O,

Title

Ceo

Phone

(201) 962-9199

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Steven M Ferrer, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Glen Rock, NJ
  • NPI 1346590924
  NPD
• Justin Simone

  • Physical Therapist
  • Mamaroneck, NY
  • NPI 1548637416
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1376914580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S FRANKLIN TPKE",
            "address_2": "SUITE 101",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462558",
            "telephone_number": "201-962-9199",
            "fax_number": "201-962-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S FRANKLIN TPKE",
            "address_2": "SUITE 101",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462558",
            "telephone_number": "201-962-9199",
            "fax_number": "201-962-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPINE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-962-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O,"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MB08770900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preventive and Diagonostic Medical Center P.a.
• Shemsi Prinzivalli, LPC, CADC
• Laura Pritchard
• Pro Function Physical Therapy P.C.
• Progressive Dental Group
• Quality Optical, Inc.
• Samuel Yp Quek, DMD
• Quest Physical Therapy
• Ashley Quiles, PTA
• Carolyne Radigan, NP

• Preferred Provider Organization in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.