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THE SPINE INSTITUTE & SPORT MEDICINE OF NEW JERSEY INCORPORATE
NPI 1700163318
Chiropractor - Sports Physician in Perth Amboy, NJ

Active since November 10, 2011
418 SMITH ST, PERTH AMBOY, NJ 08861(732) 641-3620(732) 826-3613 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Spine Institute & Sport Medicine Of New Jersey Incorporate NPPES

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

THE SPINE INSTITUTE & SPORT MEDICINE OF NEW JERSEY INCORPORATE (NPI 1700163318) is a healthcare organization registered as a sports physician in Perth Amboy, New Jersey and active in the NPI registry since November 2011. The organization lists Juan Vidal, President, as its authorized official.

NPPES Registry Identity

NPI1700163318
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameTHE SPINE INSTITUTE & SPORT MEDICINE OF NEW JERSEY INCORPORATE
Location Address418 SMITH STPerth Amboy, NJ 08861-3829
Mailing Address418 Smith StPerth Amboy, NJ 08861-3829 · (732) 641-3620 · Fax (732) 826-3613
Phone(732) 641-3620
Fax(732) 826-3613
Organization SubpartNo
Authorized OfficialJuan VidalPresident · (732) 641-3620
Enumeration DateNovember 10, 2011
Last NPPES UpdateJuly 24, 2013
✔ NPI 1700163318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
418 SMITH ST, Perth Amboy, NJ 08861
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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

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

ST. MINA THERAPEUTICS LLC
Physical Therapist
418 SMITH ST
PERTH AMBOY, NJ 08861
Middlesex County (732) 641-3620

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 The Spine Institute & Sport Medicine Of New Jersey Incorporate's NPI number?

The NPI number for The Spine Institute & Sport Medicine Of New Jersey Incorporate is 1700163318. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is The Spine Institute & Sport Medicine Of New Jersey Incorporate located?

The Spine Institute & Sport Medicine Of New Jersey Incorporate is located at 418 Smith St, Perth Amboy, NJ 08861. The listed phone number is (732) 641-3620.

What is The Spine Institute & Sport Medicine Of New Jersey Incorporate's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for The Spine Institute & Sport Medicine Of New Jersey Incorporate was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.