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

Professional Sports Medicine Associates LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1043457211

Professional Sports Medicine Associates LLC provides Sports Medicine (Family Medicine) Physician services 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 Not confirmed with CMS for 13 years — call before visiting
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