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NPI · 1235432972 · NPPES-sourced

Pro Form Sports Medicine And Wellness Associates

ActiveSports Medicine (Emergency Medicine) Physician
NPI Number
1235432972
Type 2 · Organisation
Contact
(201) 549-8846
License NJ · 25MA08835000
Last Updated
Enumerated
Primary practice addressNJ · 07070-2574
201 Route 17, 11th FloorRutherford, NJ 07070-2574
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About this NPIWhat this record shows.

NPI 1235432972 is registered to Pro Form Sports Medicine And Wellness Associates, a healthcare organisation classified as "Sports Medicine (Emergency Medicine) Physician" and located at 201 Route 17, 11th Floor in Rutherford, New Jersey. The organisation's authorised official is Tae Keun Park. The organisation has been enumerated in the NPI registry since 2010.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Pro Form Sports Medicine And Wellness Associates accepts. To confirm in-network status with your specific health plan, contact Pro Form Sports Medicine And Wellness Associates directly at (201) 549-8846.

Frequently asked

Yes. NPI 1235432972 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Emergency Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (201) 549-8846.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Pro Form Sports Medicine And Wellness Associates is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207PS0010X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Sports Medicine (Emergency Medicine) Physician providers in New Jersey.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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