ADVANTAGE SPORTS MEDICINE LLC NPI 1922435395

NPI Information

NPI: 1922435395
Provider Name: ADVANTAGE SPORTS MEDICINE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
67 BROADWAY
ELMWOOD PARK, NJ
ZIP 07407
Phone: (201) 569-0010
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ADVANTAGE SPORTS MEDICINE LLC is a multi-specialty clinic center in Elmwood Park, NJ. ADVANTAGE SPORTS MEDICINE LLC NPI is 1922435395. The provider is registered as an organization entity type.

The provider's business location address is:

67 BROADWAY
ELMWOOD PARK, NJ
ZIP 07407-836
Phone: (201) 569-0010

The provider's authorized official is Thomas S Bottiglieri .
The authorized official title is Owner/physician and has the following contact phone number (201) 569-0010.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 1/21/2014.

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	261QM1300X	Clinic/Center	Multi-Specialty	25 MB07982100	NEW JERSEY	Yes

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: 5/5/2024

NPI Synchronization or Removal

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