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SAINT PETER'S UNIVERSITY NPI 1407336605


NPI Information

NPI: 1407336605
Provider Name: SAINT PETER'S UNIVERSITY

Doing Business As: SPU SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 31D2192959

Address:
2641 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306
Phone: (972) 367-4845
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SAINT PETER'S UNIVERSITY is a sports medicine orthopaedic surgery in Jersey City, NJ. The provider is 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. SAINT PETER'S UNIVERSITY NPI is 1407336605. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spu Sports Medicine.

The provider's business location address is:

2641 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306-943
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Administrator and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 31D2192959 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineYes

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: 11/14/2023

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