North Jersey Primary Care & Sports Medicine Institute LLC
Clinic/Center, Medical Specialty in Clifton, New Jersey
1962772483- Practice location
- 6 Brighton Road, Suite 101, Clifton, NJ 07012-1647
- Phone
- 973-340-1940
- Fax
- 973-340-1958
- Last updated
- April 4, 2016
North Jersey Primary Care & Sports Medicine Institute LLC is a healthcare organization based in Clifton, NJ. North Jersey Primary Care & Sports Medicine Institute LLC practices in Clifton, NJ. The NPI Number for North Jersey Primary Care & Sports Medicine Institute LLC is 1962772483 and holds a License No. 25MA08676900 (NJ). The current practice location address for North Jersey Primary Care & Sports Medicine Institute LLC is 6 Brighton Road, Suite 101, Clifton, NJ 07012-1647 and can be reached out via phone at 973-340-1940 and via fax at 973-340-1958.
Provider Profile Details
- NPI Number
- 1962772483
- Provider Name
- North Jersey Primary Care & Sports Medicine Institute LLC
- Provider Entity Type
- Organization
- Address
- 6 Brighton Road, Suite 101, Clifton, NJ 07012-1647
- Phone Number
- 973-340-1940
- Fax Number
- 973-340-1958
- Primary Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X
- Organization Subpart
- No
- Authorized Official
- Michael C Russonella, DO · Owner · 973-340-1940
- Provider Enumeration Date
- January 2, 2012
- Last Update Date
- April 4, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Brighton Road
Suite 101
Clifton, NJ 07012-1647 - City
- Clifton
- State
- New Jersey
- Zip
- 07012-1647
- Phone Number
- 973-340-1940
- Fax Number
- 973-340-1958
Provider Business Mailing Address Details
- Address
- 6 Brighton Road
Suite 101
Clifton, NJ 07012-1647 - City
- Clifton
- State
- NJ
- Zip
- 07012-1647
- Phone Number
- 973-340-1940
- Fax Number
- 973-340-1958
License Information
- License Number
- 25MA08676900
- License State
- NJ
- Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X · 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 North Jersey Primary Care & Sports Medicine Institute LLC?
The NPI number of North Jersey Primary Care & Sports Medicine Institute LLC is 1962772483. It was assigned on January 2, 2012 and is currently active in the NPPES registry.
What is the specialty of North Jersey Primary Care & Sports Medicine Institute LLC?
North Jersey Primary Care & Sports Medicine Institute LLC is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in NJ under license number 25MA08676900.
Where does North Jersey Primary Care & Sports Medicine Institute LLC practice?
The practice location is 6 Brighton Road, Suite 101, Clifton, NJ 07012-1647. The office can be reached at 973-340-1940 (phone) or 973-340-1958 (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 1962772483 directly on the NPPES registry website.