OrganizationActive
Sports Medicine Center of Bergen, PA
NPI 1104940592 · Orthopedic Physical Therapist · Oakland, NJ
Provider details
- NPI number
- 1104940592
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gary Flink, Vice President(201) 488-0488
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Bauer Dr
Oakland, NJ 07436-3105
Phone: (201) 651-0121
Fax: (201) 651-0124
Street-level locationGet directions
Mailing address
100 Bauer Dr
Oakland, NJ 07436-3105
Other names (DBA / former)
- Doing business as
- Excel Orthpoedic Rehabilitation
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2016-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.