Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Concierge Spine and Sports Medicine, PC

Organization Clinic/Center · NPI 1831836162

Concierge Spine and Sports Medicine, PC is a Clinic/Center in Philadelphia, Pennsylvania. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Constitution Ave
Philadelphia, PA 19112-1329
Phone: (267) 551-4200
Fax: (856) 861-0928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Marter Ave Ste 700, Moorestown, NJ 08057-3147 — (267) 551-4200

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1831836162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malini Khanna — Physician Owner · (267) 551-4200
NPI enumeratedMay 18, 2022
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address22 Madeira Ct, Moorestown, NJ 08057-3144

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