Center for Sports Medicine LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

25MA07567400 Issued in NJ

Legal business name

CENTER FOR SPORTS MEDICINE LLC

Practice address

1300 Main Ave
Suite 3a
Clifton, NJ 07011-2244

Phone

(973) 777-0934

Fax

(973) 773-0543

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sammy I Masri, M.D.

Title

Owner

Phone

(973) 777-0934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1811028210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 3A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112244",
            "telephone_number": "973-777-0934",
            "fax_number": "973-773-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 3A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112244",
            "telephone_number": "973-777-0934",
            "fax_number": "973-773-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-777-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "25MA07567400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Nicole Cerbone, LMHC, LPC
• Lauren Chahalis, M.S. CCC-SLP
• Praveen Kumar Challa, R.PH

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.