New Jersey Sports & Spine Medicine, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07887300 Issued in NJ

Legal business name

NEW JERSEY SPORTS & SPINE MEDICINE, P.C.

Practice address

1553 State Highway 27
Suite 2100
Somerset, NJ 08873

Phone

(732) 249-9400

Fax

(732) 249-9500

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrew K. Ankamah, M.D.NPI 1518151414

Title

Owner

Phone

(732) 249-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew K. Ankamah, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1518151414
  Medicare reassignment NPD Authorized official
• Bella Patel, PA-C

  • Physician Assistant
  • Somerset, NJ
  • NPI 1467111237
  NPD
• Jason Poco, PA-C

  • Physician Assistant
  • Somerset, NJ
  • NPI 1417212192
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1770733362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 STATE HIGHWAY 27",
            "address_2": "SUITE 2100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-249-9400",
            "fax_number": "732-249-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 STATE HIGHWAY 27",
            "address_2": "SUITE 2100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-249-9400",
            "fax_number": "732-249-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY SPORTS & SPINE MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "ANKAMAH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-249-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07887300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.