The Spine And Sports Health Center - Medicare in Hoboken, NJ

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The Spine And Sports Health Center is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Hoboken, New Jersey. Their current practice location is 720 Monroe Street, Suite C-208, Hoboken, New Jersey. You can reach out to their office (for appointments etc.) via phone at (201) 533-9200.

The Spine And Sports Health Center is licensed to practice in New Jersey (license number 25MA07808900) and it also participates in the medicare program. The Spine And Sports Health Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1194904730.

Contact Information

The Spine And Sports Health Center
720 Monroe Street, Suite C-208,
Hoboken, NJ 07030-5000
(201) 533-9200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameThe Spine And Sports Health Center
TypeFacility
SpecialityPhysical Medicine & Rehabilitation
Location720 Monroe Street, Hoboken, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194904730
  • Provider Enumeration Date: 10/31/2007
  • Last Update Date: 09/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365530938
  • Enrollment ID: O20071115000011

Medical Identifiers

Medical identifiers for The Spine And Sports Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194904730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 38MC00542700 (New Jersey)Secondary
208100000XPhysical Medicine & Rehabilitation 25MA07808900 (New Jersey)Primary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 25MA07808900 (New Jersey)Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Spine And Sports Health Center acts as a billing entity for following providers:
Provider NameMichael J Acanfora
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1952315129
PECOS PAC ID: 8022087501
Enrollment ID: I20041019000762
Provider NameAlexander J Visco
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1205968310
PECOS PAC ID: 2860430352
Enrollment ID: I20050425000831
Provider NameJohn M De Hoyos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225168586
PECOS PAC ID: 9032215934
Enrollment ID: I20070510000116
Provider NameJames M Redondo
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1598957623
PECOS PAC ID: 3678669843
Enrollment ID: I20071219000030
Provider NameMichael E Kelly
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1871671115
PECOS PAC ID: 8729169933
Enrollment ID: I20080204000347
Provider NameAditi K Mehta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578814836
PECOS PAC ID: 6204081342
Enrollment ID: I20130221000322
Provider NameDanielle J Balisi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720490428
PECOS PAC ID: 6800010083
Enrollment ID: I20140609001126
Provider NameNeil W Tropiano
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1366881625
PECOS PAC ID: 7810117348
Enrollment ID: I20141006001729
Provider NameBasil Kurdali
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1255570925
PECOS PAC ID: 2668795253
Enrollment ID: I20150107001125
Provider NameKerri Lindo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932591526
PECOS PAC ID: 4880914985
Enrollment ID: I20150513000304
Provider NameFerdinand Iannaccone
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1851658397
PECOS PAC ID: 6608140769
Enrollment ID: I20170928000848
Provider NameRichard C Tashjian
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1306159462
PECOS PAC ID: 8123385622
Enrollment ID: I20171207001678
Provider NameAustin T Pothen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104341445
PECOS PAC ID: 3870851371
Enrollment ID: I20171211000148
Provider NameToral Rajendra Doshi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740751809
PECOS PAC ID: 0042647240
Enrollment ID: I20200228000601
Provider NameMarios Christodoulou
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215401666
PECOS PAC ID: 9133550205
Enrollment ID: I20200506001163
Provider NameBernardo Paul Avenido Garcia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073118097
PECOS PAC ID: 2769894229
Enrollment ID: I20201208000538
Provider NameEvan Walter Grunder
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1467043646
PECOS PAC ID: 1951716638
Enrollment ID: I20210210000260
Provider NameDavid Kim
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1427438522
PECOS PAC ID: 7416254636
Enrollment ID: I20210218000820
Provider NameMaureen Nicole Ciccosanti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538627500
PECOS PAC ID: 7618361247
Enrollment ID: I20220307000143
Provider NameKishan Arvind Sitapara
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1285165431
PECOS PAC ID: 3274911730
Enrollment ID: I20220613000807
Provider NameEdward Feliciano
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265587802
PECOS PAC ID: 6103963426
Enrollment ID: I20230830000008

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Spine And Sports Health Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Spine And Sports Health Center
720 Monroe Street, Suite C-208,
Hoboken, NJ 07030-5000

Ph: (201) 533-9200		The Spine And Sports Health Center
720 Monroe Street, Suite C-208,
Hoboken, NJ 07030-5000

Ph: (201) 533-9200

Reviews and Comments



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