# EAST COAST SPINE JOINT AND SPORTS MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Spine and Sports Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194904730
- **Authorized official:** DR. ALEXANDER J VISCO M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 533-9200

## Contact information

- **Practice address:** 720 MONROE STREET, SUITE C-208, HOBOKEN, NJ 07030-5000
- **Practice address phone:** (201) 533-9200
- **Mailing address:** 720 MONROE STREET, SUITE C-208, HOBOKEN, NJ 07030-5000
- **Mailing address phone:** (201) 533-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00542700 | NJ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA07808900 | NJ | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 25MA07808900 | NJ | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 09/19/2022