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PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK NPI 1497281927


NPI Information

NPI: 1497281927
Provider Name: PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
555 ROUTE 18 STE 101
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (609) 817-0052
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PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK is a durable medical equipment medical supplies in East Brunswick, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK NPI is 1497281927. The provider is registered as an organization entity type.

The provider's business location address is:

555 ROUTE 18 STE 101
EAST BRUNSWICK, NJ
ZIP 08816-727
Phone: (609) 817-0052
Fax: (609) 817-0051

The provider's authorized official is Michael Rizkalla .
The authorized official title is Administrator and has the following contact phone number (609) 817-0050.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 12/11/2018.


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
1332B00000XDurable Medical Equipment & Medical Supplies25MA09258600NEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.