Endurance Sports Medicine, LLC

Primary specialty

Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X

License

25MA08329600 Issued in NJ

Legal business name

ENDURANCE SPORTS MEDICINE, LLC

Practice address

1230 Whitehorse Mercerville Rd
Hamilton, NJ 08619-3814

Phone

(609) 581-1700

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles E Flores, M.D.

Title

Managing Member

Phone

(609) 581-1700

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740516897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193814",
            "telephone_number": "609-581-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193814",
            "telephone_number": "609-581-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-581-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08329600",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": "NJ",
            "license": "25MA08329600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "25MA08329600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D09206900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Sports Medicine Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Pediatric Sports Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.