Organization
PERFORMANCE SPINE AND SPORTS MEDICINE EAST BRUNSWICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIZKALLA M.D. (ADMINISTRATOR)
(609) 817-0050
Entity
Organization
Contact information
Practice address
555 ROUTE 18 STE 101, EAST BRUNSWICK, NJ 08816-3727
(609) 817-0052
(609) 817-0051
Mailing address
PO BOX 9925, HAMILTON, NJ 08650-1925
(609) 817-0052
(609) 817-0051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MA09258600
NJ
Other
Enumeration date
05/03/2017
Last updated
12/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up