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NORTH JERSEY PRIMARY CARE & SPORTS MEDICINE INSTITUTE LLC
NPI 1962772483
Clinic/Center - Medical Specialty in Clifton, NJ

Active since January 02, 2012
6 BRIGHTON ROAD, SUITE 101, CLIFTON, NJ 07012(973) 340-1940(973) 340-1958 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Jersey Primary Care & Sports Medicine Institute Llc NPPES

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

NORTH JERSEY PRIMARY CARE & SPORTS MEDICINE INSTITUTE LLC (NPI 1962772483) is a healthcare organization registered as a medical specialty in Clifton, New Jersey and active in the NPI registry since January 2012. The organization lists Michael C Russonella, Owner, as its authorized official.

NPPES Registry Identity

NPI1962772483
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTH JERSEY PRIMARY CARE & SPORTS MEDICINE INSTITUTE LLC
Location Address6 BRIGHTON ROAD, SUITE 101Clifton, NJ 07012-1647
Mailing Address6 Brighton Road, Suite 101Clifton, NJ 07012-1647 · (973) 340-1940 · Fax (973) 340-1958
Phone(973) 340-1940
Fax(973) 340-1958
Organization SubpartNo
Authorized OfficialMichael C RussonellaOwner · (973) 340-1940
Enumeration DateJanuary 2, 2012
Last NPPES UpdateApril 4, 2016
✔ NPI 1962772483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NJ · 25MA08676900
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
6 BRIGHTON ROAD, Clifton, NJ 07012
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Other Identifiers 1

Other224841YAT3NJ · Medicare Ptan

Other Providers at the Same Location NPPES 2

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

DR. SETH GERALD JAWETZ M.D.
Internal Medicine (Cardiovascular Disease)
6 BRIGHTON ROAD, 2ND FLOOR
CLIFTON, NJ 07012
Passaic County (973) 777-7911
DR. NEIL KAMAL GOYAL M.D.
Internal Medicine (Cardiovascular Disease)
6 BRIGHTON ROAD, 2ND FLOOR
CLIFTON, NJ 07012
Passaic County (973) 777-7911

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 North Jersey Primary Care & Sports Medicine Institute LLC's NPI number?

The NPI number for North Jersey Primary Care & Sports Medicine Institute LLC is 1962772483. It was assigned to this organization in the NPPES registry on January 2, 2012.

Where is North Jersey Primary Care & Sports Medicine Institute LLC located?

North Jersey Primary Care & Sports Medicine Institute LLC is located at 6 Brighton Road Suite 101, Clifton, NJ 07012. The listed phone number is (973) 340-1940.

What is North Jersey Primary Care & Sports Medicine Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for North Jersey Primary Care & Sports Medicine Institute LLC was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.