PROGRESSIVE SPINE AND SPORTS MEDICINE
NPI 1790190015
Physical Medicine & Rehabilitation - Pain Medicine in Glen Rock, NJ

Active since June 25, 2014
385 S MAPLE AVE STE 101, GLEN ROCK, NJ 07452(201) 962-9199(201) 962-9198 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Progressive Spine And Sports Medicine NPPES

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

PROGRESSIVE SPINE AND SPORTS MEDICINE (NPI 1790190015) is a healthcare organization registered as a pain medicine in Glen Rock, New Jersey and active in the NPI registry since June 2014. The organization lists Steven M Ferrer, Owner, as its authorized official.

NPPES Registry Identity

NPI1790190015
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePROGRESSIVE SPINE AND SPORTS MEDICINE
Location Address385 S MAPLE AVE STE 101Glen Rock, NJ 07452-1545
Mailing Address385 S Maple Ave Ste 101Glen Rock, NJ 07452-1545 · (201) 962-9199 · Fax (201) 962-9198
Fax(201) 962-9198
Organization SubpartNo
Authorized OfficialSteven M FerrerOwner · (732) 771-6455
Enumeration DateJune 25, 2014
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1790190015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NJ · 25MB08770900
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
385 S MAPLE AVE STE 101, Glen Rock, NJ 07452

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Progressive Spine And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Progressive Spine And Sports Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1346590924
385 S MAPLE AVE STE 101
Glen Rock, NJ 07452
(201) 962-9199
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Progressive Spine And Sports Medicine's NPI number?

The NPI number for Progressive Spine And Sports Medicine is 1790190015. It was assigned to this organization in the NPPES registry on June 25, 2014.

Where is Progressive Spine And Sports Medicine located?

Progressive Spine And Sports Medicine is located at 385 S Maple Ave Ste 101, Glen Rock, NJ 07452. The listed phone number is (201) 962-9199.

What is Progressive Spine And Sports Medicine's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Progressive Spine And Sports Medicine enrolled in Medicare?

Yes. Progressive Spine And Sports Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Progressive Spine And Sports Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Progressive Spine And Sports Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Progressive Spine And Sports Medicine was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.