JERSEY INTEGRATIVE SPORTS & SPINE (NPI# 1902296833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902296833 |
| Entity Type | Organization |
| Organization Name | JERSEY INTEGRATIVE SPORTS & SPINE |
| Practice Address |
2520 John F Kennedy Blvd Jersey City NJ 07304-2054 |
| Practice Telephone | 2019424555 |
| Practice Fax Number | 2012217577 |
| Mailing Telephone | 2019424555 |
| Mailing Fax Number | 2012217577 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DR. JOSE S CAMPOS (PRESIDENT) |
| Authorized Official Telephone | 2019424555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | NJ | Other Service Providers | |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
NJ | Allopathic & Osteopathic Physicians | |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
NJ | Allopathic & Osteopathic Physicians |
| Street Address |
2520 JOHN F KENNEDY BLVD |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538372362 | Lincoln Park Pain & Rehabilitation Center | Chiropractor | 2520 John F Kennedy Blvd, Jersey City, NJ 07304-2054 | 2007-05-08 |
| 1629454707 | Tatyana V Asiner | Nurse Practitioner | 2520 John F Kennedy Blvd, Jersey City, NJ 07304-2054 | 2015-07-30 |
| 1477941979 | Premium Care Physical Therapy LLC | Physical Therapist | 2520 John F Kennedy Blvd, Jersey City, NJ 07304-2054 | 2015-01-06 |
| 1023456480 | Claire Helene Handler | Nurse Practitioner | 2520 John F Kennedy Blvd, Jersey City, NJ 07304-2054 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| 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 |
|---|---|---|---|---|
| 1538582606 | Jkc Pain Mgt LLC | Physical Medicine & Rehabilitation | 3144 John F Kennedy Blvd, Jersey City, NJ 07306-3524 | 2014-01-27 |
| 1720323983 | Jignyasa Desai D.o. LLC | Physical Medicine & Rehabilitation | 590 Newark Ave, Jersey City, NJ 07306-2302 | 2012-11-29 |
| 1033426291 | Nj Health Services | Physical Medicine & Rehabilitation | 544 Summit Ave, Jersey City, NJ 07306-2702 | 2010-09-09 |
| 1053501916 | James Kenneth Chang | Physical Medicine & Rehabilitation | 3144 Kennedy Blvd, Jersey City, NJ 07306-3524 | 2007-07-26 |
| 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 | JERSEY CITY |
| Zip Code | 07304 |
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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.