Professional Sports Medicine Associates

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MA04765400 Issued in NJ

Legal business name

PROFESSIONAL SPORTS MEDICINE ASSOCIATES

Practice address

440 Old Hook Rd
Emerson, NJ 07630-2302

Phone

(201) 265-4400

Fax

(201) 265-7355

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By 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

Mr. Aaron F Hajart, MS, ATCNPI 1760461990

Title

Practice Administrator

Phone

(201) 265-4400

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Aaron Frank Hajart, MS, ATC, LAT, EMT

  • Athletic Trainer
  • Emerson, NJ
  • NPI 1760461990
  Authorized official Same address or phone
• Osric Shaun King, MD

  • Specialist
  • Fresh Meadows, NY
  • NPI 1164549382
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669503355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076420377",
            "telephone_number": "201-265-4400",
            "fax_number": "201-265-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076302302",
            "telephone_number": "201-265-4400",
            "fax_number": "201-265-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPORTS MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAJART",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "201-265-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, ATC"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA04765400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Alliance LLC
• Brittany Anne Prisco, MS CCC-SLP
• Proactive Foot and Ankle
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Pt2U
• Pulmonary & Medical Associates of Pascack Valley
• Felicia M Raju
• Jennifer Randall, MD
• Rehabilitation and Stimulation (RAS Medical Systems, Inc.)

• Sports Medicine (Family Medicine) Physician in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.