Organization Active NPI

Paramus Sports Medicine & Rehab LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
National Provider Identifier
1992655096
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
PARAMUS SPORTS MEDICINE & REHAB LLC
Practice address
205 Robin Rd Ste 118
Paramus, NJ 07652-1424
Phone
(201) 225-1511
Fax
(201) 225-9731
NPI assigned
Jan 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Analicia Bastas, MBA
Title
Practice Manager
Phone
(201) 952-6409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

205 Robin Rd Ste 118
Paramus, NJ 07652-1424

Mailing address

205 Robin Rd Ste 118
Paramus, NJ 07652-1424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1992655096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 118",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-225-1511",
            "fax_number": "201-225-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMUS SPORTS MEDICINE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "BASTAS",
        "authorized_official_first_name": "ANALICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "201-952-6409",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.