Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

New Jersey Spine & Sport Rehabilitation Medicine LLC

Organization Specialist · NPI 1033632765

New Jersey Spine & Sport Rehabilitation Medicine LLC provides Specialist services in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
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

129 Newark Ave
Jersey City, NJ 07302-2811
Phone: (718) 794-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA09845900 (NJ)

Record details

NPI number1033632765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sireen Gopal — Md · (718) 794-0600
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 25, 2017
Mailing address2008 Eastchester Rd Ste A, Bronx, NY 10461-2252

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