OrganizationActive
590 Medical, LLC
NPI 1184996332 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Jersey City, NJ
Provider details
- NPI number
- 1184996332
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gerald Vernon, Medical Director
Practice location
590 Newark Ave
Jersey City, NJ 07306-2302
Phone: (201) 420-1165
Fax: (201) 420-6893
Mailing address
590 Newark Ave
Jersey City, NJ 07306-2302
Registry dates
- Enumerated
- 2012-02-03
- Last updated
- 2012-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.