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NEW JERSEY SPINE & SPORT REHABILITATION MEDICINE LLC
NPI 1033632765
Specialist in Jersey City, NJ

Active since July 25, 2017
129 NEWARK AVE, JERSEY CITY, NJ 07302(718) 794-0600 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Jersey Spine & Sport Rehabilitation Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW JERSEY SPINE & SPORT REHABILITATION MEDICINE LLC (NPI 1033632765) is a healthcare organization registered as a specialist in Jersey City, New Jersey and active in the NPI registry since July 2017. The organization lists Sireen M Gopal, Md, as its authorized official.

NPPES Registry Identity

NPI1033632765
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEW JERSEY SPINE & SPORT REHABILITATION MEDICINE LLC
Location Address129 NEWARK AVEJersey City, NJ 07302-2811
Mailing Address2008 Eastchester Rd Ste ABronx, NY 10461-2252 · (718) 794-0600 · Fax (718) 794-9899
Phone(718) 794-0600
Organization SubpartNo
Authorized OfficialSireen M GopalMd · (718) 794-0600
Enumeration DateJuly 25, 2017
✔ NPI 1033632765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA09845900
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
129 NEWARK AVE, Jersey City, NJ 07302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAANERI ATUL JETHWA
Physical Therapist
129 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (212) 227-3233
FENNY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
129 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 333-2223
SUDARSHAN VELPARI
Internal Medicine
129 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 451-8867
LOGOS SPEECH LLC
Speech-Language Pathologist
129 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 451-8867
EMAN ZEDAN
Nurse Practitioner (Primary Care)
129 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 451-8867
CHARINA BANTUGAN FNP-C
Nurse Practitioner (Family)
129 NEWARK AVE
JERSEY CITY, NJ 07302
Hudson County (201) 451-8867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Jersey Spine & Sport Rehabilitation Medicine LLC's NPI number?

The NPI number for New Jersey Spine & Sport Rehabilitation Medicine LLC is 1033632765. It was assigned to this organization in the NPPES registry on July 25, 2017.

Where is New Jersey Spine & Sport Rehabilitation Medicine LLC located?

New Jersey Spine & Sport Rehabilitation Medicine LLC is located at 129 Newark Ave, Jersey City, NJ 07302. The listed phone number is (718) 794-0600.

What is New Jersey Spine & Sport Rehabilitation Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for New Jersey Spine & Sport Rehabilitation Medicine LLC was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.