PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES
PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1235432972, based in Rutherford, NJ. It is classified under Sports Medicine (Emergency Medicine) Physician.
Getting there
The practice address on file is 201 ROUTE 17 11TH FLOOR, Rutherford, NJ 07070. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MA08835000 | NJ | Sports Medicine (Emergency Medicine)… primary |
This provider holds licence 25MA08835000 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Sports Medicine covers
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. NUCC Health Care Provider Taxonomy, code 207PS0010X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1235432972 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 20, 2010 |
| Last updated | Dec 20, 2010 |
| Status | Active |
| Practice address |
201 ROUTE 17 11TH FLOOR Rutherford, NJ 07070 (201) 549-8846 Fax (201) 549-8839 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 3 | 5 | 4 | 3 | 2 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 6 | 5 | 8 | 3 | 4 | 9 | 5 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.