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

Saint Peter's University

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1407336605

Saint Peter's University is a Sports Medicine (Orthopaedic Surgery) Physician in Jersey City, New Jersey. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2641 John F Kennedy Blvd
Jersey City, NJ 07306-5943
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1407336605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Spu Sports Medicine
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 16, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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