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

The Spine Institute & Sport Medicine of New Jersey Incorporate

Organization Sports Physician Chiropractor · NPI 1700163318

The Spine Institute & Sport Medicine of New Jersey Incorporate is a Sports Physician Chiropractor in Perth Amboy, New Jersey. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

418 Smith St
Perth Amboy, NJ 08861-3829
Phone: (732) 641-3620
Fax: (732) 826-3613
Show map & directions

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

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X

Record details

NPI number1700163318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Vidal — President · (732) 641-3620
NPI enumeratedNovember 10, 2011
Last updated in NPPESJuly 24, 2013
Mailing address418 Smith St, Perth Amboy, NJ 08861-3829