SAINT PETER'S UNIVERSITY (NPI# 1407336605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407336605 |
Entity Type | Organization |
Organization Name | SAINT PETER'S UNIVERSITY |
Other Organization Name | SPU SPORTS MEDICINE |
Practice Address |
2641 John F Kennedy Blvd Jersey City NJ 07306-5943 |
Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
Practice Telephone | 9723674845 |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |
Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
Authorized Official Telephone | 9723674845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SPU Sports Medicine | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SAINT PETER'S UNIVERSITY HOSPITAL, INC. | 254 Easton Ave, New Brunswick, NJ 08901-1766 |
Street Address |
2641 JOHN F KENNEDY BLVD |
City | JERSEY CITY |
State | NJ |
Zip Code | 07306-5943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841749751 | Jessica Holmes | Specialist/Technologist | 2641 John F Kennedy Blvd, Jersey City, NJ 07306-5943 | 2016-10-04 |
1598243545 | Erik Lindstrom | Specialist/Technologist | 2641 John F Kennedy Blvd, Jersey City, NJ 07306-0730 | 2018-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
Find all providers in zip 07306 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
1881670784 | Serge Menkin | Orthopaedic Surgery | 311 Newark Ave, Jersey City, NJ 07302 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
1679637052 | Orthopaedic and Sports Medicine Specialists, Inc | Orthopaedic Surgery | 719 North Beers St, Suite C-1, Holmdel, NJ 07733 | 2006-12-20 |
Find all providers with the same taxonomy |
City | JERSEY CITY |
Zip Code | 07306 |
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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.