East Coast Spine Joint and Sports Medicine
NPI 1194904730ActiveOrganization· Physical Medicine & Rehabilitation· Hoboken, NJ
Physical Medicine & Rehabilitation in Hoboken, New Jersey, registered in NPPES in October 2007. The authorized official on file is Alexander J. Visco, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194904730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2007 |
| Last updated in NPPES | Sep 19, 2022 |
| Certified by provider | Feb 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 25MA07808900 | NJ |
| Chiropractor | 111N00000X | 38MC00542700 | NJ |
| Physical Medicine & Rehabilitation, Sports Medicine | 2081S0010X | 25MA07808900 | NJ |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other physiatrists in Hoboken
- 1285165431
- 1336228279
- 1205968310
- 1326233040
- 1609218650
- 1174887889
- 1235646159
- 1497678825
- 1659294494
- 1730656463
- 1912611351