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

Professional Sports Medicine Associates LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1043457211

Professional Sports Medicine Associates LLC is a Sports Medicine (Family Medicine) Physician in Elmwood Park, New Jersey. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

67 Broadway
Elmwood Park, NJ 07407-1836
Phone: (201) 569-0010
Fax: (201) 794-8411
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1043457211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Bottiglieri — President · (201) 569-0010
NPI enumeratedJanuary 9, 2009
Last updated in NPPESFebruary 11, 2013
Mailing addressPo Box 70176, Staten Island, NY 10307-0176