Organization Active NPI

Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
National Provider Identifier
1851484380
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00609800 Issued in NJ
Legal business name
SPORTSCARE OF AMERICA, PC
Practice address
11 Eagle Rock Ave
Suite 103
East Hanover, NJ 07936-3167
Phone
(973) 887-0115
Fax
(973) 887-0775
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Ms. Elizabeth Altagracia Lantigua
Title
Contract Manager
Phone
(973) 887-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00609800 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

11 Eagle Rock Ave
Suite 103
East Hanover, NJ 07936-3167

Mailing address

11 Eagle Rock Ave
2ND Floor
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Other identifiers 1

IdentifierTypeStateIssuer
DF647OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150917000430 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032213756 Receives reassigned benefits from 239 practitioners
O20171121003096 NJ DME Supplier - Independently-Practicing Physical Therapist 9032213756 Practice locations: Cedar Knolls, NJ

National Provider Directory

National Provider Directory

Locations (25 of 46)

101A Portland Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1952 US Highway 22
Ste 101
Bound Brook, NJ 08805
Phone (732) 805-9005

42 Brick Blvd
Brick, NJ 08723
Phone (732) 255-9500

317 Brick Blvd
Ste 120
Brick, NJ 08723
Phone (732) 255-9500

218 Ridgedale Ave
Ste 204
Cedar Knolls, NJ 07927
Phone (973) 359-0777

197 Ridgedale Ave
Ste 155
Cedar Knolls, NJ 07927
Phone (973) 605-5115

218 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 359-0777

136 State Route 10
Ste 8
East Hanover, NJ 07936
Phone (973) 463-1775

11 Eagle Rock Ave
Fl 2
East Hanover, NJ 07936
Phone (973) 887-3000

11 Eagle Rock Ave
Ste 103
East Hanover, NJ 07936
Phone (973) 887-0115

390 Murray Hill Pkwy
East Rutherford, NJ 07073
Phone (201) 623-3366

1 Industrial Way W
Bldg A-E
Eatontown, NJ 07724
Phone (732) 222-2121

67 Broadway
Ste 2
Elmwood Park, NJ 07407
Phone (201) 791-9233

4253 US Highway 9
Ste A
Freehold, NJ 07728
Phone (732) 780-9033

325 US Highway 22
Ste D
Green Brook, NJ 08812
Phone (732) 805-9005

100 Park Ave
Ste 4
Hillsdale, NJ 07642
Phone (201) 263-0001

70 Hudson St
Ste 2A
Hoboken, NJ 07030
Phone (201) 533-8111

550 Newark Ave
Ste 403404
Jersey City, NJ 07306
Phone (201) 217-0600

610 Newark Ave
Ste 1
Jersey City, NJ 07306
Phone (201) 217-0600

870 Boulevard
Kenilworth, NJ 07033
Phone (908) 245-5566

201 S Livingston Ave
Livingston, NJ 07039
Phone (973) 535-9980

279 3rd Ave
Ste 206
Long Branch, NJ 07740
Phone (732) 222-2121

239 Millburn Ave
Millburn, NJ 07041
Phone (862) 308-0222

350 Main Rd
Ste 200
Montville, NJ 07045
Phone (973) 263-9855

Practitioners & affiliated clinicians

Practitioners 330

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

View all 330

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1851484380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "2ND FLOOR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "SUITE 103",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-0115",
            "fax_number": "973-887-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSCARE OF AMERICA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LANTIGUA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "973-887-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00609800",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF647",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.