Active NPIOrganization

Premier Spine And Sports Medicine, P.c.

Physical Medicine & Rehabilitation in Fort Lee, New Jersey

NPI Number1811236672
Practice location
1555 Center Ave, Fort Lee, NJ 07024-4612
Fax
—
Last updated
September 27, 2013

Premier Spine And Sports Medicine, P.c. is a healthcare organization based in Fort Lee, NJ. Premier Spine And Sports Medicine, P.c. practices in Fort Lee, NJ. The NPI Number for Premier Spine And Sports Medicine, P.c. is 1811236672 and holds a License No. 25MA08795900 (NJ). The current practice location address for Premier Spine And Sports Medicine, P.c. is 1555 Center Ave, Fort Lee, NJ 07024-4612 and can be reached out via phone at 201-242-1600.

Provider Profile Details

NPI Number
1811236672
Provider Name
Premier Spine And Sports Medicine, P.c.
Provider Entity Type
Organization
Address
1555 Center Ave, Fort Lee, NJ 07024-4612
Phone Number
201-242-1600
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Organization Subpart
No
Authorized Official
Dr. Ruby E Kim, MD · Physician · 201-242-1600
Provider Enumeration Date
February 13, 2013
Last Update Date
September 27, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1555 Center Ave
Fort Lee, NJ 07024-4612
Zip
07024-4612
Phone Number
201-242-1600
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1555 Center Ave
2ND Floor
Fort Lee, NJ 07024-4612
City
Fort Lee
State
NJ
Zip
07024-4612

License Information

License Number
25MA08795900
License State
NJ
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · 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 Premier Spine And Sports Medicine, P.c.?

The NPI number of Premier Spine And Sports Medicine, P.c. is 1811236672. It was assigned on February 13, 2013 and is currently active in the NPPES registry.

What is the specialty of Premier Spine And Sports Medicine, P.c.?

Premier Spine And Sports Medicine, P.c. is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 25MA08795900.

Where does Premier Spine And Sports Medicine, P.c. practice?

The practice location is 1555 Center Ave, Fort Lee, NJ 07024-4612. The office can be reached at 201-242-1600 (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 1811236672 directly on the NPPES registry website.

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