PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK (NPI# 1497281927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497281927 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK |
| Practice Address |
555 Route 18 Ste 101 East Brunswick NJ 08816-3727 |
| Mailing Address |
Po Box 9925 Hamilton NJ 08650-1925 |
| Practice Telephone | 6098170052 |
| Practice Fax Number | 6098170051 |
| Mailing Telephone | 6098170052 |
| Mailing Fax Number | 6098170051 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | MICHAEL RIZKALLA (ADMINISTRATOR) |
| Authorized Official Telephone | 6098170050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 25MA09258600 | NJ | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699228650 | Performance Spine and Sports Medicine East Brunswick | Specialist | 555 State Route 18, East Brunswick, NJ 08816-3713 | 2016-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK LLC | 555 State Route 18 Ste 202, East Brunswick, NJ 08816-3727 |
| Street Address |
555 ROUTE 18 STE 101 |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679552 | Chase Stopyra | Physical Therapist | 555 Route 18 Ste 101, East Brunswick, NJ 08816-3727 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433446 | Deepblue Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8 Devon Dr, East Brunswick, NJ 08816-5330 | 2019-12-03 |
| 1104210285 | Total Care Solutions, Corp | Durable Medical Equipment & Medical Supplies | 647 State Route 18 Ste Y, East Brunswick, NJ 08816 | 2015-03-26 |
| 1528491115 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 380 Route 18, East Brunswick, NJ 08816-2114 | 2013-08-19 |
| 1003162819 | Atlas Durable Medical Equipment, LLC. | Durable Medical Equipment & Medical Supplies | 105 Tices Ln, Suite A, East Brunswick, NJ 08816-2029 | 2012-07-30 |
| 1821314600 | National Diabetic Shoe Company LLC | Durable Medical Equipment & Medical Supplies | 647 State Route 18, Ste M, East Brunswick, NJ 08816-3747 | 2010-04-19 |
| 1417133455 | Precision Fitters | Durable Medical Equipment & Medical Supplies | 43 W Prospect St, Suite 101, East Brunswick, NJ 08816-2184 | 2008-01-20 |
| 1205905072 | All Comfort, Inc. | Durable Medical Equipment & Medical Supplies | 6 Edgeboro Rd, East Brunswick, NJ 08816-1648 | 2006-11-07 |
| 1316029127 | Alpine Medical & Surgical Supplie | Durable Medical Equipment & Medical Supplies | 415 State Route 18 Unit 3, East Brunswick, NJ 08816-2305 | 2006-10-20 |
| 1013014877 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 50 Race Track Rd, East Brunswick, NJ 08816-3728 | 2006-09-20 |
| 1528073517 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 421 Ryders Ln, East Brunswick, NJ 08816 | 2006-07-29 |
| Find all providers in EAST BRUNSWICK | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
Please comment or provide details below to improve the information on PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.