Sports Management Institute LLC
Family Medicine, Sports Medicine in Bloomfield, New Jersey
1629419163- Practice location
- 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611
- Phone
- 973-748-0067
- Fax
- —
- Last updated
- July 12, 2013
Sports Management Institute LLC is a healthcare organization based in Bloomfield, NJ. Sports Management Institute LLC practices in Bloomfield, NJ. The NPI Number for Sports Management Institute LLC is 1629419163 and holds a License No. 0400560133 (NJ). The current practice location address for Sports Management Institute LLC is 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 and can be reached out via phone at 973-748-0067.
Provider Profile Details
- NPI Number
- 1629419163
- Provider Name
- Sports Management Institute LLC
- Provider Entity Type
- Organization
- Address
- 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611
- Phone Number
- 973-748-0067
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Organization Subpart
- No
- Authorized Official
- Dina Degregorio · Manager · 973-748-0067
- Other Names
- Sports Medicine 360 LLC (Doing Business As)
- Provider Enumeration Date
- July 12, 2013
- Last Update Date
- July 12, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14-20 Watsessing Ave
Bloomfield, NJ 07003-4611 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-4611
- Phone Number
- 973-748-0067
Provider Business Mailing Address Details
- Address
- 14-20 Watsessing Ave
Bloomfield, NJ 07003-4611 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-4611
- Phone Number
- 973-748-0067
License Information
- License Number
- 0400560133
- License State
- NJ
- Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X · 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 Sports Management Institute LLC?
The NPI number of Sports Management Institute LLC is 1629419163. It was assigned on July 12, 2013 and is currently active in the NPPES registry.
What is the specialty of Sports Management Institute LLC?
Sports Management Institute LLC is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 0400560133.
Where does Sports Management Institute LLC practice?
The practice location is 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611. The office can be reached at 973-748-0067 (phone).
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 1629419163 directly on the NPPES registry website.