Performance Spine and Sports Medicine of Newtown, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD433529 Issued in PA

Legal business name

PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC

Practice address

828 Newtown Yardley Road
A
Newtown, PA 18940

Phone

(609) 588-8600

Fax

(609) 588-8602

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Marek Sulzynski

Title

Administrator

Phone

(609) 588-8600

Specialties & licenses 4

Addresses

Locations

Practitioners 4

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.

• Malini M Khanna, M.D.

  • Interventional Pain Medicine Physician
  • Sewell, NJ
  • NPI 1306087200
  NPD
• Kristy G Root, D.C.

  • Chiropractor
  • Morrisville, PA
  • NPI 1861660755
  NPD (past)
• Kevin Kaiwen Hsu, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Point Pleasant Boro, NJ
  • NPI 1477740751
  NPD (past)
• Joseph Vincent Mahon, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1013356005
  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1578848651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 NEWTOWN YARDLEY ROAD",
            "address_2": "A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "609-588-8600",
            "fax_number": "609-588-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 NEWTOWN YARDLEY ROAD",
            "address_2": "A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "609-588-8600",
            "fax_number": "609-588-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SULZYNSKI",
        "authorized_official_first_name": "MAREK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-588-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD433529",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08725900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01357000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "MD019816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #05447)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 07189)
• Demetrios A. Perdikis, M.D.
• Mark L Perecman, DMD
• Performance Spine and Sports Medicine of Newtown, LLC
• Jennifer Perna, DPT
• Tia Persolio, OTR/L
• Steven M Pertes, PT
• Adam John Peters, OTD, OTR/L
• Lynsey Peters, M.ED., BCBA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Newtown, PA
• Providers in Newtown, PA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.