# JERSEY INTEGRATIVE SPORTS & SPINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902296833
- **Authorized official:** DR. JOSE S CAMPOS MD (PRESIDENT)
- **Authorized official phone:** (201) 942-4555

## Contact information

- **Practice address:** 2520 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07304-2054
- **Practice address phone:** (201) 942-4555
- **Practice address fax:** (201) 221-7577
- **Mailing address:** 2520 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07304-2054
- **Mailing address phone:** (201) 942-4555
- **Mailing address fax:** (201) 221-7577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NJ | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NJ | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NJ | — |

## Other

- **Enumeration date:** 01/30/2015
- **Last updated:** 10/06/2015