Organization Active NPI

A Athlete Sports Medicine, L.L.C.

  • Sports Medicine (Family Medicine) Physician
  • Robbinsville, NJ
National Provider Identifier
1396987715
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MA07522900 Issued in NJ
Legal business name
A ATHLETE SPORTS MEDICINE, L.L.C.
Practice address
38 Robbinsville Allentown Rd Ste a
Robbinsville, NJ 08691-1400
Phone
(609) 970-1272
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Adam Daniel Redlich, M.D.NPI 1114986452
Title
Sole Member
Phone
(609) 790-1272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA07522900 NJ Primary

Addresses

Primary practice location

38 Robbinsville Allentown Rd Ste a
Robbinsville, NJ 08691-1400

Mailing address

38 Robbinsville Allentown Rd Ste a
Robbinsville, NJ 08691-1400
Phone (609) 970-1272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000696 NJ Part B Supplier - Clinic/Group Practice 2860545936 Receives reassigned benefits from 3 practitioners
Practice locations: Robbinsville, NJ

National Provider Directory

National Provider Directory

Locations

1944 State Route 33
Ste 202
Neptune, NJ 07753
Phone (732) 776-3690

38 Robbinsville Allentown Rd
Ste A
Robbinsville, NJ 08691
Phone (609) 223-2286

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1396987715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ROBBINSVILLE ALLENTOWN RD STE A",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911400",
            "telephone_number": "609-970-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROBBINSVILLE ALLENTOWN RD STE A",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911400",
            "telephone_number": "609-970-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A ATHLETE SPORTS MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "REDLICH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "609-790-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA07522900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.