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

Premier Spine and Sports Medicine, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1811236672

Premier Spine and Sports Medicine, PC is a Physical Medicine & Rehabilitation Physician in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
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

1555 Center Ave
Fort Lee, NJ 07024-4612
Phone: (201) 242-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 25MA08795900 (NJ)

Record details

NPI number1811236672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruby Kim — Physician · (201) 242-1600
NPI enumeratedFebruary 13, 2013
Last updated in NPPESSeptember 27, 2013
Mailing address1555 Center Ave, 2nd Floor, Fort Lee, NJ 07024-4612

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