NPIMap

Organization Active NPI

Harborside Sport & Spine LLC

  • Rehabilitation Practitioner
  • Jersey City, NJ
National Provider Identifier
1407079833
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
MC00641600 Issued in NJ
Legal business name
HARBORSIDE SPORT & SPINE LLC
Practice address
75 Montgomery St
Suite 603
Jersey City, NJ 07302-3726
Phone
(201) 433-1955
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. David Sylvester, DCNPI 1548483894
Title
Single Member
Phone
(201) 433-1955

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
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X MC00641600 NJ Primary

Addresses

Primary practice location

75 Montgomery St
Suite 603
Jersey City, NJ 07302-3726

Mailing address

75 Montgomery St
Suite 603
Jersey City, NJ 07302-3726
Phone (201) 433-1955

National Provider Directory

National Provider Directory

Locations

75 Montgomery St
Fl 603
Jersey City, NJ 07302
Phone (201) 433-1955

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1407079833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MONTGOMERY ST",
            "address_2": "SUITE 603",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023726",
            "telephone_number": "201-433-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MONTGOMERY ST",
            "address_2": "SUITE 603",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023726",
            "telephone_number": "201-433-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE SPORT & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "201-433-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NJ",
            "license": "MC00641600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.