PREMIER SPINE AND SPORTS MEDICINE, P.C.
NPI 1811236672
Physical Medicine & Rehabilitation in Fort Lee, NJ
About Premier Spine And Sports Medicine, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER SPINE AND SPORTS MEDICINE, P.C. (NPI 1811236672) is a healthcare organization registered as a physical medicine & rehabilitation in Fort Lee, New Jersey and active in the NPI registry since February 2013. The organization lists Ruby E Kim, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Spine And Sports Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Premier Spine And Sports Medicine, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Premier Spine And Sports Medicine, P.C.'s NPI number?
The NPI number for Premier Spine And Sports Medicine, P.C. is 1811236672. It was assigned to this organization in the NPPES registry on February 13, 2013.
Where is Premier Spine And Sports Medicine, P.C. located?
Premier Spine And Sports Medicine, P.C. is located at 1555 Center Ave, Fort Lee, NJ 07024. The listed phone number is (201) 242-1600.
What is Premier Spine And Sports Medicine, P.C.'s specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Premier Spine And Sports Medicine, P.C. enrolled in Medicare?
Yes. Premier Spine And Sports Medicine, P.C. is registered in the Medicare PECOS enrollment system.
When is Premier Spine And Sports Medicine, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premier Spine And Sports Medicine, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Medicine and Rehabilitation, reassign their Medicare billing to Premier Spine And Sports Medicine, P.C.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Premier Spine And Sports Medicine, P.C. was last updated on September 27, 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.