SOUTH JERSEY SPINE & SPORT LLC
NPI 1497415160
Chiropractor in Haddonfield, NJ

Q: What is South Jersey Spine & Sport LLC's NPI number?

The NPI number for South Jersey Spine & Sport LLC is 1497415160. It was assigned to this organization in the NPPES registry on December 22, 2021. The provider is doing business as Sports Recovery Lab of Haddonfield.

Q: What is South Jersey Spine & Sport LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since December 22, 2021

56 N HADDON AVE LOWR LEVEL, HADDONFIELD, NJ 08033(856) 240-7529 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Jersey Spine & Sport Llc NPPES

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

SOUTH JERSEY SPINE & SPORT LLC (NPI 1497415160), doing business as Sports Recovery Lab Of Haddonfield, is a healthcare organization registered as a chiropractor in Haddonfield, New Jersey and active in the NPI registry since December 2021. The organization lists Michael Distler, Owner, as its authorized official.

NPPES Registry Identity

NPI1497415160

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSOUTH JERSEY SPINE & SPORT LLC

Location Address56 N HADDON AVE LOWR LEVELHaddonfield, NJ 08033-2438

Mailing Address56 N Haddon Ave Lowr LevelHaddonfield, NJ 08033-2438 · (856) 240-7529

Phone(856) 240-7529

Organization SubpartNo

Authorized OfficialMichael DistlerOwner · (203) 241-4574

Enumeration DateDecember 22, 2021

NPPES CertifiedDecember 22, 2021

✔ NPI 1497415160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

56 N HADDON AVE LOWR LEVEL, Haddonfield, NJ 08033

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Other Names 1

Doing Business AsSports Recovery Lab Of Haddonfield

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

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

MICHAEL JAMES DISTLER DC, CCSP

Chiropractor (Sports Physician)

56 N HADDON AVE LOWR LEVEL
HADDONFIELD, NJ 08033

Camden County (856) 240-7529

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 South Jersey Spine & Sport LLC's NPI number?

The NPI number for South Jersey Spine & Sport LLC is 1497415160. It was assigned to this organization in the NPPES registry on December 22, 2021. The provider is doing business as Sports Recovery Lab of Haddonfield.

Where is South Jersey Spine & Sport LLC located?

South Jersey Spine & Sport LLC is located at 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033. The listed phone number is (856) 240-7529.

What is South Jersey Spine & Sport LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for South Jersey Spine & Sport LLC was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.