NPIMap

Organization Active NPI

Regenerative Medicine of South Jersey LLC

Doing business as Active Spine and Joint Institute

  • Family Medicine Physician
  • Rio Grande, NJ
National Provider Identifier
1992342109
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGENERATIVE MEDICINE OF SOUTH JERSEY LLC
Doing business as
Active Spine and Joint Institute
Practice address
1501 Route 47
Rio Grande, NJ 08242-1401
Phone
(605) 224-1576
NPI assigned
Dec 6, 2019
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Robert Olivieri, DCNPI 1043224090
Title
Owner
Phone
(609) 224-1576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1501 Route 47
Rio Grande, NJ 08242-1401

Mailing address

1501 Route 47
Rio Grande, NJ 08242-1401

Other names 1

  • ACTIVE SPINE AND JOINT INSTITUTE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200210000019 NJ Part B Supplier - Clinic/Group Practice 5799111860 Receives reassigned benefits from 25 practitioners
Practice locations: Marmora, NJ; Northfield, NJ; Rio Grande, NJ; Marlton, NJ
O20200423001889 NJ DME Supplier - Multi-Specialty - PhysicianDME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 5799111860 Practice locations: Rio Grande, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Regenerative Medc of S Jersey LLC1501 Route 47, Rio Grande, NJ 08242-1401(609) 886-8585 Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts Accepts assignmentParticipating since Jan 15, 2020

National Provider Directory

National Provider Directory

Locations

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1992342109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROUTE 47",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROUTE 47",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421401",
            "telephone_number": "605-224-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE OF SOUTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "OLIVIERI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-224-1576",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE SPINE AND JOINT INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.