PREMIER SPINE AND SPORTS MEDICINE, P.C.
NPI 1811236672
Physical Medicine & Rehabilitation in Fort Lee, NJ

Active since February 13, 2013
1555 CENTER AVE, FORT LEE, NJ 07024(201) 242-1600 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1811236672
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePREMIER SPINE AND SPORTS MEDICINE, P.C.
Location Address1555 CENTER AVEFort Lee, NJ 07024-4612
Mailing Address1555 Center Ave, 2nd FloorFort Lee, NJ 07024-4612
Organization SubpartNo
Authorized OfficialRuby E KimPhysician · (201) 242-1600
Enumeration DateFebruary 13, 2013
Last NPPES UpdateSeptember 27, 2013
✔ NPI 1811236672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in NJ · 25MA08795900
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1555 CENTER AVE, Fort Lee, NJ 07024

Other Identifiers 1

Other150155GF6NJ · Medicare

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

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.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20130923000367Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare 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)

Physical Medicine and Rehabilitation
NPI 1972762730
1555 CENTER AVE 2ND FLOOR
Fort Lee, NJ 07024
(201) 242-1600
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1154984334
504 VALLEY RD STE 203
Wayne, NJ 07470
(973) 686-0700
✔ PECOS✔ Accepts Medicare14 mi

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.