Performance Spine And Sports Medicine Of Bordentown, LLC
Durable Medical Equipment & Medical Supplies in Bordentown, New Jersey
1073912333- Practice location
- 9500 K. Johnson Blvd, Suite 1, Bordentown, NJ 08505-4400
- Phone
- 609-588-8600
- Fax
- 609-588-8602
- Last updated
- August 22, 2014
Performance Spine And Sports Medicine Of Bordentown, LLC is a healthcare organization based in Bordentown, NJ. Performance Spine And Sports Medicine Of Bordentown, LLC practices in Bordentown, NJ. The NPI Number for Performance Spine And Sports Medicine Of Bordentown, LLC is 1073912333 and holds a License No. 25MA08436100 (NJ). The current practice location address for Performance Spine And Sports Medicine Of Bordentown, LLC is 9500 K. Johnson Blvd, Suite 1, Bordentown, NJ 08505-4400 and can be reached out via phone at 609-588-8600 and via fax at 609-588-8602.
Provider Profile Details
- NPI Number
- 1073912333
- Provider Name
- Performance Spine And Sports Medicine Of Bordentown, LLC
- Provider Entity Type
- Organization
- Address
- 9500 K. Johnson Blvd, Suite 1, Bordentown, NJ 08505-4400
- Phone Number
- 609-588-8600
- Fax Number
- 609-588-8602
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Matthias Heinz Wiederholz, MD · Owner · 609-588-8600
- Provider Enumeration Date
- August 22, 2014
- Last Update Date
- August 22, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9500 K. Johnson Blvd
Suite 1
Bordentown, NJ 08505-4400 - City
- Bordentown
- State
- New Jersey
- Zip
- 08505-4400
- Phone Number
- 609-588-8600
- Fax Number
- 609-588-8602
Provider Business Mailing Address Details
- Address
- 9500 K. Johnson Blvd
Suite 1
Bordentown, NJ 08505-4400 - City
- Bordentown
- State
- NJ
- Zip
- 08505-4400
- Phone Number
- 609-588-8600
- Fax Number
- 609-588-8602
License Information
- License Number
- 25MA08436100
- License State
- NJ
- Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Performance Spine And Sports Medicine Of Bordentown, LLC?
The NPI number of Performance Spine And Sports Medicine Of Bordentown, LLC is 1073912333. It was assigned on August 22, 2014 and is currently active in the NPPES registry.
What is the specialty of Performance Spine And Sports Medicine Of Bordentown, LLC?
Performance Spine And Sports Medicine Of Bordentown, LLC is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X), licensed in NJ under license number 25MA08436100.
Where does Performance Spine And Sports Medicine Of Bordentown, LLC practice?
The practice location is 9500 K. Johnson Blvd, Suite 1, Bordentown, NJ 08505-4400. The office can be reached at 609-588-8600 (phone) or 609-588-8602 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073912333 directly on the NPPES registry website.