PROFESSIONAL SPORT & SPINE LLC (NPI# 1942789037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942789037 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SPORT & SPINE LLC |
| Practice Address |
101 Route 130 S- Presidential Center Washington Bldg Suite 10 Cinnaminson NJ 08077 |
| Practice Telephone | 6093462954 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | DR. DANE HARDY (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 6093462954 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00738000 | NJ | Chiropractic Providers |
| Street Address |
101 ROUTE 130 S- PRESIDENTIAL CENTER WASHINGTON BLDG SUITE 10 |
| City | CINNAMINSON |
| State | NJ |
| Zip Code | 08077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260537 | Brendan Hastings | Physician Assistant | 1210 Us-130, Cinnaminson, NJ 08077 | 2018-09-27 |
| 1932635356 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Wayne Dr, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1215463633 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1103 Thomas Ave, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1497281109 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 New Albany Rd, Cinnaminson, NJ 08077 | 2017-05-02 |
| 1285169961 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2810 Hunterdon Dr, Cinnaminson, NJ 08077 | 2017-05-01 |
| 1841725470 | Jodi Laughlin | Nurse Practitioner | 400 Highway, Riverton, NJ 08077 | 2017-04-20 |
| 1306383161 | Marwa Yacout | Pharmacist | 1210 Rt.130 North, Cinnaminson, NJ 08077 | 2017-01-31 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| 1043629710 | Sharea Farmer | Social Worker | 101 Route 130, Grant Building, Suite 408, Cinnaminson, NJ 08077 | 2014-08-07 |
| 1316366529 | Donell Buggs | Counselor | 101 Us-130, Grant Building Suite # 408, Grant Building, Suite #408, Cinnaminson, NJ 08077 | 2014-04-15 |
| Find all providers in zip 08077 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500382 | Proactive Chiropractic Rehabilitation Center | Chiropractor | 2010 New Albany Rd, Cinnaminson, NJ 08077-3535 | 2011-04-07 |
| 1114049087 | Marianne Teitelbaum | Chiropractor | 1400 Wynwood Drive, Cinnaminson, NJ 08077 | 2007-04-04 |
| 1760492573 | Dhcc,llc | Chiropractor | 2800 Route 130 N, Suite 200, Cinnaminson, NJ 08077-3035 | 2006-08-08 |
| 1760413488 | George T Bennett | Chiropractor | 2193 Riverton Rd, Cinnaminson, NJ 08077-3729 | 2006-07-05 |
| 1972045672 | Dane Hardy | Chiropractor | 101 Route 130 S, Suite 10, Cinnaminson, NJ 08077-2845 | 2016-11-11 |
| 1740618149 | Ronald Allen Donato Jr. | Chiropractor | 2010 New Albany Rd, Cinnaminson, NJ 08077-3535 | 2013-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407448 | Michael Saccente | Chiropractor | 700 Campus Dr Ste C, Morganville, NJ 07751-1259 | 2020-11-02 |
| 1598364127 | Edison Chiropractic, LLC | Chiropractor | 1581 Route 27 Unit 4, Edison, NJ 08817-3477 | 2020-10-24 |
| 1316546591 | Salvador Gonzalez Ruiz | Chiropractor | 758 Bloomfield Ave, West Caldwell, NJ 07006-6710 | 2020-10-20 |
| 1427655802 | Leandra L Quinones Santiago | Chiropractor | 691 Mill Creek Rd Ste 5, Manahawkin, NJ 08050-3531 | 2020-10-08 |
| 1306443452 | Alec Michael Shell | Chiropractor | 116 Miln St, Cranford, NJ 07016-2141 | 2020-10-01 |
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1932715505 | Elite Spine and Wellness, LLC | Chiropractor | 2864 Rte 27 Ste C, North Brunswick, NJ 08902-5010 | 2020-09-19 |
| 1184239410 | Keith Alan Eisenberger | Chiropractor | 61 Hudson St, Hackensack, NJ 07601-6943 | 2020-09-14 |
| 1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
| 1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CINNAMINSON |
| Zip Code | 08077 |
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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.