PRO HEALTH SPORTS AND WELLNESS CENTER TEANECK, LLC (NPI# 1124629415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124629415 |
| Entity Type | Organization |
| Organization Name | PRO HEALTH SPORTS AND WELLNESS CENTER TEANECK, LLC |
| Practice Address |
153 Fort Lee Rd Teaneck NJ 07666-3984 |
| Mailing Address |
161 E Main St Denville NJ 07834-2647 |
| Practice Telephone | 5512876500 |
| Practice Fax Number | 2018362768 |
| Mailing Telephone | 9736277888 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DAVID BARRETT (MEMBER) |
| Authorized Official Telephone | 9736277888 |
| Authorized Official Credential | DC |
| 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 |
| Street Address |
153 FORT LEE RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962751123 | Harry Lefkowitzdc LLC | Chiropractor | 153 Fort Lee Rd, Teaneck, NJ 07666-3951 | 2012-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 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 |
| 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.