Premier Spine and Sports Medicine, P.C.
NPI 1811236672 · Physical Medicine & Rehabilitation Physician · Fort Lee, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Spine and Sports Medicine, P.C. is a Physical Medicine & Rehabilitation Physician organization in Fort Lee, NJ (NPI 1811236672).
Provider details
- NPI number
- 1811236672
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruby Kim, Physician(201) 242-1600
- License
- 25MA08795900 (NJ)
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
13 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
- 2013-02-13
- Last updated
- 2013-09-27
Frequently asked questions
- What is Premier Spine and Sports Medicine, P.C.'s NPI number?
- Premier Spine and Sports Medicine, P.C.'s National Provider Identifier (NPI) is 1811236672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Spine and Sports Medicine, P.C.?
- Premier Spine and Sports Medicine, P.C. is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Spine and Sports Medicine, P.C. located?
- Premier Spine and Sports Medicine, P.C.'s practice location on file with NPPES is 1555 Center Ave, Fort Lee, NJ 07024-4612.
- What is Premier Spine and Sports Medicine, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Premier Spine and Sports Medicine, P.C. is (201) 242-1600.
- Does Premier Spine and Sports Medicine, P.C. accept Medicare?
- Premier Spine and Sports Medicine, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Spine and Sports Medicine, P.C.?
- The authorized official listed on Premier Spine and Sports Medicine, P.C.'s NPPES record is Ruby Kim, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Spine and Sports Medicine, P.C.'s NPI active?
- Yes — Premier Spine and Sports Medicine, P.C.'s NPI (1811236672) is active in the NPPES registry as of the last update on 2013-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.