Active NPI
Sportscare of America, PC
- Physical Therapist
- East Hanover, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00609800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF647 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations (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.
-
- Physical Therapist
- Cedar Knolls, NJ
- NPI 1831327741
NJ, Physical Therapist
-
- Physical Therapist
- East Hanover, NJ
- NPI 1023307220
NJ, Physical Therapist
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.