FAMILY AND SPORTS MEDICINE INSTITUTE OF NEW JERSEY LLC (NPI# 1972917086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972917086 |
Entity Type | Organization |
Organization Name | FAMILY AND SPORTS MEDICINE INSTITUTE OF NEW JERSEY LLC |
Practice Address |
33 Upper Overlook Rd Suite 305 Summit NJ 07901 |
Mailing Address |
4 Grant St Unit 1r Montclair NJ 07042-4864 |
Practice Telephone | 9737988793 |
Mailing Telephone | 9737988793 |
Enumeration Date | 2014-06-17 |
Last Update Date | 2019-01-23 |
Authorized Official Name | DR. MELISSA MASCARO (OWNER/PRESIDENT) |
Authorized Official Telephone | 9737988793 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1 Bay Ave Fl 3, Montclair, NJ 070424837 | 9737988793 | |
4 Grant St, Unit 1r, Montclair, NJ 070424864 | 2015018500 |
Street Address |
33 UPPER OVERLOOK RD SUITE 305 |
City | SUMMIT |
State | NJ |
Zip Code | 07901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356858781 | Sarah Leanne Shell | Dentist | 33 Upper Overlook Rd, #403, Summit, NJ 07901 | 2018-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
1790047744 | Srinivasulu Thota | Pharmacist | 563 Broad St, Valueplus Pharmacy, Newark, NJ 07901 | 2012-06-14 |
Find all providers in zip 07901 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619598786 | Olivia Joi Carlton | Physical Medicine & Rehabilitation | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103388 | Jersey Integrative Spine & Sports, PC | Physical Medicine & Rehabilitation | 408 Main St Ste 401, Boonton, NJ 07005-1732 | 2020-01-09 |
1023668480 | Dishon Healthcare Solutions, LLC | Physical Medicine & Rehabilitation | 160 Morgan St Apt 2304, Jersey City, NJ 07302-6274 | 2019-09-18 |
1992352801 | Performance Pain and Sports Medicine of Raritan LLC | Physical Medicine & Rehabilitation | 903 Us Highway 202 Ste 2a, Raritan, NJ 08869-1449 | 2019-08-25 |
1609387000 | Stephanie Ingrid B Gumban | Physical Medicine & Rehabilitation | 201 Lower Notch Rd # A3, Little Falls, NJ 07424-1802 | 2017-10-12 |
1700290855 | Roger Luo | Physical Medicine & Rehabilitation | 150 Bergen St # Uhc-134, Newark, NJ 07103 | 2014-06-17 |
1982043857 | Samuel Torres Dona Jr. | Physical Medicine & Rehabilitation | 197 Ridgedale Ave Ste 300, Cedar Knolls, NJ 07927 | 2013-06-24 |
1801057997 | Jose S. Campos | Physical Medicine & Rehabilitation | 901 Route 23 South, 2nd Floor, Pompton Plains, NJ 07444-1025 | 2008-06-20 |
1275603391 | Rajendra V Ram | Physical Medicine & Rehabilitation | 33 Riverviewview Drive, Wayne, NJ 07470 | 2006-11-08 |
1588686604 | South Jersey Sports & Spine Medicine LLC | Physical Medicine & Rehabilitation | 525 Route 73 South, Evesham Commons- Suite 104a, Marlton, NJ 08053-9643 | 2006-07-25 |
1124629415 | Pro Health Sports and Wellness Center Teaneck, LLC | Physical Medicine & Rehabilitation | 153 Fort Lee Rd, Teaneck, NJ 07666-3984 | 2020-11-04 |
Find all providers with the same taxonomy |
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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.