Individual provider Active NPI

Albert Joseph Pogorelec Jr., D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Clifton, NJ
National Provider Identifier
1558459487
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
25MB07663200 Issued in NJ
Practice address
164 Brighton Rd
Clifton, NJ 07012-1400
Phone
(973) 773-2500
Fax
(973) 773-0508
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 25MB07663200 NJ
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB07663200 NJ
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 25MB07663200 NJ Primary

Addresses

Primary practice location

164 Brighton Rd
Clifton, NJ 07012-1400

Mailing address

164 Brighton Rd
Clifton, NJ 07012-1400
Phone (973) 773-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 31, 2017 through May 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07663200NJMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558459487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BRIGHTON RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121400",
            "telephone_number": "973-773-2500",
            "fax_number": "973-773-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BRIGHTON RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121400",
            "telephone_number": "973-773-2500",
            "fax_number": "973-773-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGORELEC",
        "first_name": "ALBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB07663200",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB07663200",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "25MB07663200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.