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

Performance Spine and Sports Medicine of Bordentown, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1073912333

Performance Spine and Sports Medicine of Bordentown, LLC is a Durable Medical Equipment & Medical Supplies in Bordentown, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
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

9500 K Johnson Blvd Ste 1
Bordentown, NJ 08505-4400
Phone: (609) 588-8600
Fax: (609) 588-8602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 25MA08436100 (NJ)

Record details

NPI number1073912333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthias Wiederholz — Owner · (609) 588-8600
NPI enumeratedAugust 22, 2014
Last updated in NPPESAugust 22, 2014
Mailing address9500 K. Johnson Blvd, Suite 1, Bordentown, NJ 08505-4400

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