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

North Jersey Primary Care & Sports Medicine Institute LLC

Organization Medical Specialty Clinic/Center · NPI 1962772483

North Jersey Primary Care & Sports Medicine Institute LLC is a Medical Specialty Clinic/Center in Clifton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
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

6 Brighton Rd Ste 101
Clifton, NJ 07012-1647
Phone: (973) 340-1940
Fax: (973) 340-1958
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 25MA08676900 (NJ)

Record details

NPI number1962772483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Russonella — Owner · (973) 340-1940
NPI enumeratedJanuary 2, 2012
Last updated in NPPESApril 4, 2016
Mailing address6 Brighton Road, Suite 101, Clifton, NJ 07012-1647

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