Organization Active NPI

Professional Sports Care Management Inc

  • Rehabilitation Clinic/Center
  • East Rutherford, NJ
National Provider Identifier
1619938727
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PROFESSIONAL SPORTS CARE MANAGEMENT INC
Practice address
1 Branca Rd
East Rutherford, NJ 07073-2121
Phone
(201) 933-1112
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 975-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1 Branca Rd
East Rutherford, NJ 07073-2121

Mailing address

1 Branca Rd
East Rutherford, NJ 07073-2121
Phone (201) 933-1112

National Provider Directory

National Provider Directory

Locations

246 Federal Rd
Brookfield, CT 06804
Phone (203) 464-3337

73 Sand Pit Rd
Ste 203
Danbury, CT 06810
Phone (203) 797-1504

1 Branca Rd
East Rutherford, NJ 07073
Phone (201) 933-1112

2048 Center Ave
Fort Lee, NJ 07024
Phone (201) 944-4414

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1619938727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRANCA RD",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070732121",
            "telephone_number": "201-933-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRANCA RD",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070732121",
            "telephone_number": "201-933-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPORTS CARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.