Spine & Sports Medicine of Manchester LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SPINE & SPORTS MEDICINE OF MANCHESTER LLC

Practice address

60 Lacey Rd
Whiting, NJ 08759-2921

Phone

(732) 408-4492

Fax

(323) 500-8527

NPI assigned

Apr 27, 2015

Last updated

Nov 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Hsu, MD

Title

Co-President

Phone

(732) 350-0500

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1598142630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592921",
            "telephone_number": "732-350-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592921",
            "telephone_number": "732-408-4492",
            "fax_number": "323-500-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS MEDICINE OF MANCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "732-350-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manjula Singh, M.D.
• Vinita Sodhi, MD
• Margaret Sorge
• Soul II Soul Behavioral Health and Medicine LLC
• Christopher Paul Speck, P.T.
• Spine and Sports Medicine of Manchester
• Springpoint at Crestwood, Inc.
• Richard Stuttard Jr.
• Deborah A Swierz, M.A.
• Lorraine Tedesco, APN

• Interventional Pain Medicine Physician in Whiting, NJ
• Providers in Whiting, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.