PROFESSIONAL SPORTS MEDICINE ASSOCIATES L.L.C
NPI 1043457211
Family Medicine - Sports Medicine in Elmwood Park, NJ

Q: What is Professional Sports Medicine Associates L.L.C's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since January 09, 2009

67 BROADWAY, ELMWOOD PARK, NJ 07407(201) 569-0010(201) 794-8411 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Professional Sports Medicine Associates L.l.c NPPES

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

PROFESSIONAL SPORTS MEDICINE ASSOCIATES L.L.C (NPI 1043457211) is a healthcare organization registered as a sports medicine in Elmwood Park, New Jersey and active in the NPI registry since January 2009. The organization lists Thomas Bottiglieri, President, as its authorized official.

NPPES Registry Identity

NPI1043457211

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NamePROFESSIONAL SPORTS MEDICINE ASSOCIATES L.L.C

Location Address67 BROADWAYElmwood Park, NJ 07407-1836

Mailing AddressPo Box 70176Staten Island, NY 10307-0176 · (201) 569-0010 · Fax (201) 569-0080

Phone(201) 569-0010

Fax(201) 794-8411

Organization SubpartNo

Authorized OfficialThomas BottiglieriPresident · (201) 569-0010

Enumeration DateJanuary 9, 2009

Last NPPES UpdateFebruary 11, 2013

✔ NPI 1043457211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

67 BROADWAY, Elmwood Park, NJ 07407

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Other Identifiers 1

Medicare UPIN153031NJ

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 11

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

MRS. PRITEE SHAH PT

Physical Therapist

67 BROADWAY, BROADWAY FOOT AND ANKLE CTR., PA
ELMWOOD PARK, NJ 07407

Bergen County (201) 794-3223

ACTIVE ORTHOPEDICS & SPORTS MEDICINE LLC

Orthopaedic Surgery