NPIMap

Organization Active NPI

Progressive Spine & Orthopaedics, LLC

Doing business as NJ Disc Center

  • Physical Therapist
  • Perth Amboy, NJ
National Provider Identifier
1801222476
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE SPINE & ORTHOPAEDICS, LLC
Doing business as
NJ Disc Center
Practice address
477 Brace Ave Ste 1
Perth Amboy, NJ 08861-3018
Phone
(732) 442-0969
NPI assigned
Sep 16, 2013
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Luz Rios
Title
Supervisor
Phone
(201) 581-7010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

477 Brace Ave Ste 1
Perth Amboy, NJ 08861-3018

Mailing address

477 Brace Ave
Perth Amboy, NJ 08861-3018
Phone (732) 442-0969

Other names 1

  • NJ Disc Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828003574 NJ Part B Supplier - Clinic/Group Practice 2961669528 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, NJ; Perth Amboy, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Progressive Spine Ortho LL4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

477 Brace Ave
Perth Amboy, NJ 08861
Phone (732) 442-0969

477 Brace Ave
#C
Perth Amboy, NJ 08861
Phone (732) 442-0969

477 Brace Ave
Ste 1
Perth Amboy, NJ 08861
Phone (732) 442-0969

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1801222476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 BRACE AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613018",
            "telephone_number": "732-442-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 BRACE AVE STE 1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613018",
            "telephone_number": "732-442-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPINE & ORTHOPAEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "201-581-7010"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJ Disc Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

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