OrganizationActive
Advantage Sports Medicine LLC
NPI 1922435395 · Multi-Specialty Clinic/Center · Elmwood Park, NJ
Provider details
- NPI number
- 1922435395
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Bottiglieri, Owner/Physician(201) 569-0010
- License
- 25 MB07982100 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
67 Broadway
Elmwood Park, NJ 07407-1836
Phone: (201) 569-0010
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 70176
Staten Island, NY 10307-0176
Registry dates
- Enumerated
- 2013-10-01
- Last updated
- 2014-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.