NORTHEAST SPORTS MEDICINE GROUP, PC
NORTHEAST SPORTS MEDICINE GROUP, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1811010549, based in Point Pleasant Boro, NJ. The organization lists 7 taxonomy classifications, with Pain Medicine (Physical Medicine & Rehabilitation) Physician recorded as primary.
Getting there
The practice address on file is 1104 ARNOLD AVE, Point Pleasant Boro, NJ 08742. 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 |
|---|---|---|
| MC05775 | NJ | Chiropractor |
This provider holds licence MC05775 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3173580511
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | O20041216000750 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20100930055365 | Dme Supplier - Physician - Osteopathic Manipulative Medicine |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pain Medicine covers
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 2081P2900X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | — | primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NJ | |
| 111N00000X | Chiropractor | MC05775 | NJ | |
| 171100000X | Acupuncturist | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 225100000X | Physical Therapist | — | — |
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 | 1811010549 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 9, 2007 |
| Last updated | Mar 3, 2025 |
| Status | Active |
| Practice address |
1104 ARNOLD AVE Point Pleasant Boro, NJ 08742 (732) 714-0070 Fax (732) 714-0188 |
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 | 8 | 1 | 1 | 0 | 1 | 0 | 5 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 2 | 1 | 0 | 1 | 0 | 5 | 8 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
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.