New Jersey Sports Medicine LLC.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NEW JERSEY SPORTS MEDICINE LLC.

Practice address

299 Cherry Hill Rd Ste 105
Parsippany, NJ 07054-1124

Phone

(973) 998-8301

Fax

(973) 998-8302

NPI assigned

Feb 3, 2009

Last updated

Feb 21, 2023By 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

Jay E Bowen, DO.NPI 1821025370

Title

Managing Member

Phone

(973) 998-8301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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.

• Mahidhar Mahasamudram Reddy, MD

  • Internal Medicine Physician
  • Whippany, NJ
  • NPI 1114451630
  Medicare reassignment NPD
• Thomas Agesen, MD

  • Physical Medicine & Rehabilitation Physician
  • Parsippany, NJ
  • NPI 1497782940
  Medicare reassignment
• Jay E Bowen, DO

  • Physical Medicine & Rehabilitation Physician
  • Parsippany, NJ
  • NPI 1821025370
  Authorized official Same address or phone
• Stephen J. Roman, MD

  • Physical Medicine & Rehabilitation Physician
  • Madison, NJ
  • NPI 1265400287
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1790923480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CHERRY HILL RD STE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541124",
            "telephone_number": "973-998-8301",
            "fax_number": "973-998-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CHERRY HILL RD STE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541124",
            "telephone_number": "973-998-8301",
            "fax_number": "973-998-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY SPORTS MEDICINE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-998-8301",
        "authorized_official_credential": "DO."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC (CVS Pharmacy #10381)
• New Jersey Hyperbaric Oxygen
• New Jersey Hyperbaric Oxygen Therapy, Inc.
• New Jersey Podiatric Physicians & Surgeons Group, LLC
• New Jersey Podiatric Physicians and Surgeons Group, LLC
• New Jersey Star Aco, Inc.
• New Road Pharmacy and Surgical Inc (New Road Pharmacy & Surgical)
• Newbridge Services, Inc
• Newbridge Services, Inc.
• Newbridge Services, Inc.

• Physical Medicine & Rehabilitation Physician in Parsippany, NJ
• Providers in Parsippany, 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 Feb 21, 2023; 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.