Ultima Sports And Spine Llc is a
Clinic/center - Multi-specialty based in Hawthorne, New Jersey. Ultima Sports And Spine Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
219 Lafayette Ave, Hawthorne, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(973) 423-9100.
NPI number for Ultima Sports And Spine Llc is 1811508641 and their current mailing address is 219 Lafayette Ave, Hawthorne, New Jersey. Ultima Sports And Spine Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811508641.
Healthcare Provider's Profile
| Full Name | Ultima Sports And Spine Llc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 219 Lafayette Ave, Hawthorne, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811508641
- Provider Enumeration Date: 08/14/2020
- Last Update Date: 08/24/2020
Medical Identifiers
Medical identifiers for Ultima Sports And Spine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811508641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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. Ultima Sports And Spine Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ultima Sports And Spine Llc
219 Lafayette Ave,
Hawthorne, NJ 07506-1904
Ph: (973) 423-9100 | Ultima Sports And Spine Llc
219 Lafayette Ave,
Hawthorne, NJ 07506-1904
Ph: (973) 423-9100 |
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