DR. JEROME PUMO D.O.FACOFP NPI 1558363382

NPI Information

NPI: 1558363382
Provider Name: DR. JEROME PUMO, D.O.,FACOFP
Classification: Family Medicine - 207QS0010X
Specialization: Sports Medicine
Entity Type: Individual
Address: 132 WESTFIELD AVE
UNIT 1
CLARK, NJ
ZIP 07066
Phone: (732) 574-1777

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NPI Details

DR. Jerome Pumo, D.O.,FACOFP is a sports medicine family medicine in Clark, NJ. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. DR. Jerome Pumo, D.O.,FACOFP NPI is 1558363382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

132 WESTFIELD AVE
UNIT 1
CLARK, NJ
ZIP 07066-453
Phone: (732) 574-1777
Fax: (732) 574-2707

The enumeration date for this NPI number is 8/11/2005 and was last updated on 8/26/2014.

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
1	207QS0010X	Family Medicine	Sports Medicine	25MB02746100	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2237789	OTHER	NEW JERSEY	AETNA
2	UP094	OTHER	NEW JERSEY	OXFORD
3	106094	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	PROVIDER ID NUMBER

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: 11/21/2025

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