PERFORMANCE SPINE & SPORTS MEDICINE


Address: 4056 Quakerbridge Road, Suite 111, Lawrenceville, NJ 08648-1005
Phone: 6095888600

PERFORMANCE SPINE & SPORTS MEDICINE (NPI# 1689816860) 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) 1689816860
Entity Type Organization
Organization Name PERFORMANCE SPINE & SPORTS MEDICINE
Practice Address 4056 Quakerbridge Road
Suite 111
Lawrenceville
NJ 08648-1005
Practice Telephone 6095888600
Mailing Telephone 6095888600
Enumeration Date 2009-04-02
Last Update Date 2012-02-03
Authorized Official Name MATTHIAS H WIEDERHOLTZ (PRESIDENT/CO-OWNER)
Authorized Official Telephone 6095888600
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356610133 Performance Spine & Sports Medicine Prosthetic/Orthotic Supplier 4056 Quakerbridge Rd, 111, Lawrenceville, NJ 08648-4779 2011-12-22

Office Location

Street Address 4056 QUAKERBRIDGE ROAD
SUITE 111
City LAWRENCEVILLE
State NJ
Zip Code 08648-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194799106 Jerrold S. Gertzman Family Medicine 4056 Quakerbridge Road, Suite 101, Lawrenceville, NJ 08648-4779 2006-02-15
1538192257 Adity Bhattacharyya Family Medicine 4056 Quakerbridge Road, Suite 101, Lawrenceville, NJ 08648 2006-07-08
1982655320 Ruppert Hawes Family Medicine 4056 Quakerbridge Road, Suite 101, Lawrenceville, NJ 08648 2006-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336763531 Medlife Diagnostic Laboratories Clinical Medical Laboratory 1717 Brunswick Ave, Lawrence Twp, NJ 08648 2020-06-03
1770137226 Andrew Corato Specialist/Technologist Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 2019-08-01
1457832149 St. Mary's Assisted Living Assisted Living Facility One Bishops' Drive, Lawrenceville, NJ 08648 2018-08-22
1255832341 Alma Garcia Social Worker 9 Gordon Avenue, Lawrenceville, NJ 08648 2018-02-23
1548760804 Lawrence Spine & Wellness Pa Chiropractor 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 2018-02-13
1982134722 Cindy Johnson Counselor 8433 Town Court North, Lawrenceville, NJ 08648 2017-06-14
1306372719 Adapt Performance and Rehab Clinic/Center 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 2017-05-04
1780123588 Feliks Shtindler Md PC Internal Medicine 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 2017-02-14
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790144673 Interventional Spine and Pain Management Center, PC Pain Medicine 4799 Sugarloaf Pkwy, Suite 1500, Lawrenceville, GA 30044-8836 2016-02-19
1356781181 Georgia Pain and Wellness Center, LLC Pain Medicine 455 Philip Blvd, Bldg 100, Ste 140, Lawrenceville, GA 30046-8767 2013-06-25
1740529080 Princeton Pain and Spine Institute PC Pain Medicine 123 Franklin Corner Rd, Suite 104, Lawrenceville, NJ 08648-2526 2013-02-06
1306162037 Srinand Mandyam Pain Medicine 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 2010-04-20
1578507893 Dinash Kumar Yanamadula Pain Medicine 123 Franklin Corner Rd, Suite 104, Lawrenceville, NJ 08648-2526 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841802220 Spine & Pain Institute of New Jersey Pain Medicine 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 2020-08-18
1225680796 Nj Interventional Pain Management LLC Pain Medicine 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 2019-07-15
1780246017 Premier Pain Centers, LLC Pain Medicine 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 2019-07-08
1083271134 Us Functional, LLC Pain Medicine 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 2019-05-23
1770043515 Healthcare Pain Centers LLC Pain Medicine 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 2019-03-20
1780165829 Premier Pain Centers, LLC. Pain Medicine 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 2018-08-27
1063993103 Premier Pain Centers, LLC. Pain Medicine 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 2018-08-27
1720592942 Pain Associates of Bergen County LLC Pain Medicine 294 State Street, Suite 2, Hackensack, NJ 07601 2017-11-27
1811421696 Precision Spine & Sports Medicine Inc Pain Medicine 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 2017-04-18
1063879971 Central Pain and Wellness Pain Medicine 725 Mill St, Moorestown, NJ 08057-1803 2016-01-22
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Competitor

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City LAWRENCEVILLE
Zip Code 08648

Improve Information

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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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