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ADVANCED SPINE & SPORTS PERFORMANCE NPI 1336590652


NPI Information

NPI: 1336590652
Provider Name: ADVANCED SPINE & SPORTS PERFORMANCE
Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
149 HORSENECK RD
FAIRFIELD, NJ
ZIP 07004
Phone: (973) 851-9188
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ADVANCED SPINE & SPORTS PERFORMANCE is a sports physician chiropractor in Fairfield, NJ. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. ADVANCED SPINE & SPORTS PERFORMANCE NPI is 1336590652. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

149 HORSENECK RD
FAIRFIELD, NJ
ZIP 07004-306
Phone: (973) 851-9188
Fax: (201) 228-9980

The provider's authorized official is Charles Bronder .
The authorized official title is President and has the following contact phone number (973) 851-9188.

The enumeration date for this NPI number is 6/28/2016 and was last updated on 6/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNEW JERSEYNo
2111NS0005XChiropractorSports PhysicianNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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