KM SPORTS AND SPINE MEDICINE (NPI# 1861731036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861731036 |
| Entity Type | Organization |
| Organization Name | KM SPORTS AND SPINE MEDICINE |
| Practice Address |
444 Market St Saddle Brook NJ 07663-5996 |
| Mailing Address |
444 Market St Suite 2b Saddle Brook NJ 07663-5996 |
| Practice Telephone | 2016323080 |
| Practice Fax Number | 2016446269 |
| Mailing Telephone | 2016323080 |
| Mailing Fax Number | 2016446269 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2014-01-13 |
| Authorized Official Name | DR. KEVIN MCELROY (PRESIDENT) |
| Authorized Official Telephone | 2016323080 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MB08770900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
444 MARKET ST |
| City | SADDLE BROOK |
| State | NJ |
| Zip Code | 07663-5996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526586 | Ambulatory Pain Management Physicians, LLC | Specialist | 444 Market St, Saddle Brook, NJ 07663-5996 | 2005-05-31 |
| 1467996611 | Kimberly Ciummo | Massage Therapist | 444 Market St, Saddle Brook, NJ 07663-5996 | 2016-12-07 |
| 1669914685 | Mann&sharmallc | Obstetrics & Gynecology | 444 Market St, St 2b, Saddle Brook, NJ 07663-5996 | 2016-11-08 |
| 1164972261 | Kristin L Miller, Lcsw LLC | Social Worker | 444 Market St, Saddle Brook, NJ 07663-5996 | 2016-10-12 |
| 1275086175 | Spine & Rehabilitation Center of Saddle Brook | Physical Therapist | 444 Market St, Saddle Brook, NJ 07663-5996 | 2016-07-27 |
| 1659731933 | Surgicore, LLC | Clinic/Center | 444 Market St, Saddle Brook, NJ 07663-5996 | 2016-03-01 |
| 1871979070 | North Jersey Spine and Rehab | Chiropractor | 444 Market St, Suite 3, Saddle Brook, NJ 07663-5996 | 2015-08-11 |
| 1881070381 | North Jersey Spine and Rehab LLC | Physical Therapist | 444 Market St, Saddle Brook, NJ 07663-5996 | 2015-08-06 |
| 1144617168 | Advanced Physicians Unlimited, PC | General Practice | 444 Market St, Saddle Brook, NJ 07663-5996 | 2015-04-16 |
| 1780001438 | Joanne Paventa | Clinic/Center | 444 Market St, Suite 5, Saddle Brook, NJ 07663-5996 | 2014-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120606 | Alexander Rumaczyk | Chiropractor | 299 Market Street, Suite 140, Saddle Brook, NJ 07663 | 2017-08-15 |
| 1134676612 | Pietra Valentina Leone | Physical Therapist | 5 Dyer Pl, Saddle Brook, NJ 07663 | 2016-09-01 |
| 1609249630 | Caringhouse Projects, Inc | Respite Care | 515 Dewey Avenue, Saddlebrook, NJ 07663 | 2015-11-13 |
| 1477942506 | Thimmel Chiropractic, LLC | Physical Therapist | 380 N. Midland Avenue, Saddle Brook, NJ 07663 | 2015-01-13 |
| 1609211275 | Krysbelle Alconis | Registered Nurse | 206 Wilson Street, Saddle Brook, NJ 07663 | 2013-05-08 |
| 1750685582 | Senior Citizen Aged & Disabled Alliance | Local Education Agency (LEA) | Ten Sampson Street, Unit 110, Saddle Brook, NJ 07663 | 2011-01-10 |
| 1164757274 | Martos Chiropractic Health Center, LLC | Chiropractor | 150 N. Midland Ave, Saddle Brook, NJ 07663 | 2009-10-07 |
| 1609095314 | Interim Healthcare of Saddle Brook, Inc. | Home Health | 15 5th Street, Saddle Brook, NJ 07663 | 2007-04-24 |
| 1336232065 | John R. Mully D.m.d., P.a. | Dentist | 337 Market Street, Saddle Brook, NJ 07663 | 2006-10-02 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| Find all providers in zip 07663 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | SADDLE BROOK |
| Zip Code | 07663 |
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| 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.