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

Jersey Integrative Spine & Sports, PC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1578103388

Jersey Integrative Spine & Sports, PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Boonton, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

408 Main St Ste 401
Boonton, NJ 07005-1732
Phone: (973) 794-6611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X

Record details

NPI number1578103388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Campos — President · (862) 666-9285
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address901 Rt 23, 2nd Floor, Pompton Plains, NJ 07444