NPIMap

Organization Active NPI

Clifton Sports Medicine & Physical Therapy LLC

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1851548762
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00630100 Issued in NJ
Legal business name
CLIFTON SPORTS MEDICINE & PHYSICAL THERAPY LLC
Practice address
1233 Main Ave
Clifton, NJ 07011-2241
Phone
(973) 595-6444
NPI assigned
Aug 21, 2008
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Dr. Peter Ponzini, D.C.
Title
Manager
Phone
(973) 595-6444

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01282900 NJ
Chiropractor 111N00000X 38MC00619200 NJ
Chiropractor 111N00000X 38MC00630100 NJ Primary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 25MB06381000 NJ

Addresses

Primary practice location

1233 Main Ave
Clifton, NJ 07011-2241

Mailing address

1233 Main Ave
Clifton, NJ 07011-2241
Phone (973) 595-6444

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1851548762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112241",
            "telephone_number": "973-595-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112241",
            "telephone_number": "973-595-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON SPORTS MEDICINE & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "PONZINI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-595-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01282900",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00619200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00630100",
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB06381000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.