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FELICIAN UNIVERSITY
NPI 1265994479
General Practice in Rutherford, NJ

Active since April 05, 2019
1 FELICIAN WAY, RUTHERFORD, NJ 07070(201) 559-3333 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Felician University NPPES

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

FELICIAN UNIVERSITY (NPI 1265994479), doing business as Felician Sports Medicine, is a healthcare organization registered as a general practice in Rutherford, New Jersey and active in the NPI registry since April 2019. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1265994479
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFELICIAN UNIVERSITY
Location Address1 FELICIAN WAYRutherford, NJ 07070-1977
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(201) 559-3333
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845
Enumeration DateApril 5, 2019
✔ NPI 1265994479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1 FELICIAN WAY, Rutherford, NJ 07070
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Other Names 1

Doing Business AsFelician Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MR. JOHN FRANCIS SAKATOS I ATC
Specialist/Technologist (Athletic Trainer)
1 FELICIAN WAY
RUTHERFORD, NJ 07070
Bergen County (201) 335-1465
MACKENZIE ROBERT LIVERMORE
Emergency Medicine (Sports Medicine)
1 FELICIAN WAY
RUTHERFORD, NJ 07070
Bergen County (908) 752-7127
PAUL MCCLAIR
Specialist/Technologist (Athletic Trainer)
1 FELICIAN WAY
RUTHERFORD, NJ 07070
Bergen County (201) 355-1465
IMANI MCQUEEN
Specialist/Technologist (Athletic Trainer)
1 FELICIAN WAY
RUTHERFORD, NJ 07070
Bergen County (201) 355-1465
MS. ALEAH ABIGAIL NIESHALLA LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 FELICIAN WAY
RUTHERFORD, NJ 07070
Bergen County (201) 559-6000

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 Felician University's NPI number?

The NPI number for Felician University is 1265994479. It was assigned to this organization in the NPPES registry on April 5, 2019. The provider is doing business as Felician Sports Medicine.

Where is Felician University located?

Felician University is located at 1 Felician Way, Rutherford, NJ 07070. The listed phone number is (201) 559-3333.

What is Felician University's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Felician University was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.