NPIMap

Organization Active NPI

Performance Medical Group of Branchburg LLC

Doing business as Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
National Provider Identifier
1679075642
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLC
Doing business as
Performance Rehabilitation & Regenerative Medicine
Practice address
3150 US Highway 22
Branchburg, NJ 08876-3595
Phone
(908) 756-2424
Fax
(908) 546-7978
NPI assigned
Mar 6, 2018
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Ronald Spiaggia, DCNPI 1720102692
Title
Clinic Director/ Owner
Phone
(908) 756-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

3150 US Highway 22
Branchburg, NJ 08876-3595

Mailing address

1011 US Highway 22 Ste 203
Bridgewater, NJ 08807-2979
Phone (908) 756-2424

Other names 1

  • Performance Rehabilitation & Regenerative Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180725002862 NJ Part B Supplier - Clinic/Group Practice 9234486945 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
Practice locations: Branchburg, NJ
O20190412000423 NJ DME Supplier - Physician - Osteopathic Manipulative Medicine 9234486945 Practice locations: Branchburg, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 61

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.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1679075642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 US HIGHWAY 22 STE 203",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072979",
            "telephone_number": "908-756-2424",
            "fax_number": "908-450-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 US HIGHWAY 22",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763595",
            "telephone_number": "908-756-2424",
            "fax_number": "908-546-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SPIAGGIA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "908-756-2424",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabilitation & Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.