SAINT PETER'S UNIVERSITY


Address: 2641 John F Kennedy Blvd, Jersey City, NJ 07306-5943
Phone: 9723674845

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SPU Sports Medicine Doing Business As Name - Organization

Other Data Sources

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

Office Location

Street Address 2641 JOHN F KENNEDY BLVD
City JERSEY CITY
State NJ
Zip Code 07306-5943

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City JERSEY CITY
Zip Code 07306

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Dataset Information

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.

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