SOUTH JERSEY SPORTS & SPINE MEDICINE LLC (NPI# 1588686604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588686604 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY SPORTS & SPINE MEDICINE LLC |
| Practice Address |
525 Route 73 South Evesham Commons- Suite 104a Marlton NJ 08053-9643 |
| Mailing Address |
Po Box 22462 Philadelphia PA 19110-2462 |
| Practice Telephone | 8568749777 |
| Practice Fax Number | 8568749444 |
| Mailing Telephone | 2157327600 |
| Mailing Fax Number | 8568749444 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | MERYL Y STEIN (OWNER) |
| Authorized Official Telephone | 8568749777 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DEPARTMENT OF LABOR | 610782200 | 01 |
| NJ | 0075728 | 05 | |
| NJ | AMERIHEALTH | 2625614000 | 01 |
| Street Address |
525 ROUTE 73 SOUTH EVESHAM COMMONS- SUITE 104A |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-9643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770590648 | Meryl Y Stein | Physical Medicine & Rehabilitation | 525 Route 73 South, Evesham Commons - Suite 104a, Marlton, NJ 08053-9643 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| 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 |
| 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.