Sportsmed Acupunture of New Jersey, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SPORTSMED ACUPUNTURE OF NEW JERSEY, LLC

Doing business as

SportsMed Physical Therapy

Practice address

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354

Phone

(201) 445-7000

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

SPORTSMED PT LLCAs reported in NPPES

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

Authorized official

Name

Carol Azar

Title

VP, RCM

Phone

(201) 857-0527

Specialties & licenses 1

Addresses

Other names 1

• SportsMed Physical Therapy Doing business as

Part of

Sportsmed PT LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  NPPES parent name

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1740087303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "973-767-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354",
            "telephone_number": "201-445-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED ACUPUNTURE OF NEW JERSEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTSMED PT LLC",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "201-857-0527"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportsMed Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marianna Stas, M.S., CF-SLP
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• Acupuncturist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.