ULTIMA SPORTS AND SPINE LLC
NPI 1811508641
Clinic/Center - Multi-Specialty in Hawthorne, NJ

Q: What is Ultima Sports And Spine LLC's NPI number?

The NPI number for Ultima Sports And Spine LLC is 1811508641. It was assigned to this organization in the NPPES registry on August 14, 2020.

Q: What is Ultima Sports And Spine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 14, 2020

219 LAFAYETTE AVE, HAWTHORNE, NJ 07506(973) 423-9100(973) 423-1339 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2020, Aug 14, 2020 (2 updates tracked since 2020).

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About Ultima Sports And Spine Llc NPPES

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

ULTIMA SPORTS AND SPINE LLC (NPI 1811508641) is a healthcare organization registered as a multi-specialty in Hawthorne, New Jersey and active in the NPI registry since August 2020. The organization lists Peter Berger, Owner, as its authorized official.

NPPES Registry Identity

NPI1811508641

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameULTIMA SPORTS AND SPINE LLC

Location Address219 LAFAYETTE AVEHawthorne, NJ 07506-1904

Mailing Address219 Lafayette AveHawthorne, NJ 07506-1904 · (973) 423-9100 · Fax (973) 423-1339

Phone(973) 423-9100

Fax(973) 423-1339

Organization SubpartNo

Authorized OfficialPeter BergerOwner · (973) 423-9100

Enumeration DateAugust 14, 2020

Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration

NPPES CertifiedAugust 24, 2020

✔ NPI 1811508641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

Also ListedPhysical TherapistTaxonomy 225100000X

219 LAFAYETTE AVE, Hawthorne, NJ 07506

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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 8

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

HAWTHORNE PAIN & SPINE CENTER

Chiropractor