Active NPIOrganization

Advanced Spine & Sports Performance

Chiropractor, Sports Physician in Fairfield, New Jersey

NPI Number1336590652
Practice location
149 Horseneck RD, Fairfield, NJ 07004-2306
Fax
201-228-9980
Last updated
June 28, 2016

Advanced Spine & Sports Performance is a healthcare organization based in Fairfield, NJ. Advanced Spine & Sports Performance practices in Fairfield, NJ. The NPI Number for Advanced Spine & Sports Performance is 1336590652. The current practice location address for Advanced Spine & Sports Performance is 149 Horseneck RD, Fairfield, NJ 07004-2306 and can be reached out via phone at 973-851-9188 and via fax at 201-228-9980.

Provider Profile Details

NPI Number
1336590652
Provider Name
Advanced Spine & Sports Performance
Provider Entity Type
Organization
Address
149 Horseneck RD, Fairfield, NJ 07004-2306
Phone Number
973-851-9188
Fax Number
201-228-9980
Primary Taxonomy
Chiropractor, Sports Physician · 111NS0005X
Organization Subpart
No
Authorized Official
Dr. Charles Bronder, DC · President · 973-851-9188
Provider Enumeration Date
June 28, 2016
Last Update Date
June 28, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Horseneck RD
Fairfield, NJ 07004-2306
Zip
07004-2306
Phone Number
973-851-9188
Fax Number
201-228-9980
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
149 Horseneck RD
Fairfield, NJ 07004-2306
City
Fairfield
State
NJ
Zip
07004-2306
Phone Number
973-851-9188
Fax Number
201-228-9980

License Information

License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X
License State (2)
NJ
Taxonomy (2)
Chiropractor, Sports Physician · 111NS0005X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Advanced Spine & Sports Performance?

The NPI number of Advanced Spine & Sports Performance is 1336590652. It was assigned on June 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Advanced Spine & Sports Performance?

Advanced Spine & Sports Performance is registered under the primary taxonomy Chiropractor, Sports Physician (code 111NS0005X).

Where does Advanced Spine & Sports Performance practice?

The practice location is 149 Horseneck RD, Fairfield, NJ 07004-2306. The office can be reached at 973-851-9188 (phone) or 201-228-9980 (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 1336590652 directly on the NPPES registry website.

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