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

New Jersey Spine & Sport Rehabilitation Medicine LLC

Organization Specialist · NPI 1033632765

New Jersey Spine & Sport Rehabilitation Medicine LLC is a Specialist in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 Newark Ave
Jersey City, NJ 07302-2811
Phone: (718) 794-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA09845900 (NJ)

Record details

NPI number1033632765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sireen Gopal — Md · (718) 794-0600
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 25, 2017
Mailing address2008 Eastchester Rd Ste A, Bronx, NY 10461-2252

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