Sports Extra PC
NPI 1346296969 · Sports Medicine (Family Medicine) Physician · Clark, NJ
Sports Extra PC is a Sports Medicine (Family Medicine) Physician organization in Clark, NJ (NPI 1346296969).
Provider details
- NPI number
- 1346296969
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michele Gilsenan, Practice Owner(732) 388-7300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2007-10-18
Frequently asked questions
- What is Sports Extra PC's NPI number?
- Sports Extra PC's National Provider Identifier (NPI) is 1346296969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Extra PC?
- Sports Extra PC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sports Extra PC located?
- Sports Extra PC's practice location on file with NPPES is 67 Walnut Ave, Clark, NJ 07066-1640.
- What is Sports Extra PC's phone number?
- The practice phone number listed in the NPPES registry for Sports Extra PC is (732) 388-7300.
- Who is the authorized official for Sports Extra PC?
- The authorized official listed on Sports Extra PC's NPPES record is Michele Gilsenan, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Extra PC's NPI active?
- Yes — Sports Extra PC's NPI (1346296969) is active in the NPPES registry as of the last update on 2007-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.