Healthcare Provider Details

I. General information

NPI: 1700017811
Provider Name (Legal Business Name): BODY IN MOTION SPORTS & ORTHOPAEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W MAIN ST STE 5
FREEHOLD NJ
07728-2521
US

IV. Provider business mailing address

437 LAKEHURST RD
TOMS RIVER NJ
08755-7378
US

V. Phone/Fax

Practice location:
  • Phone: 732-780-1122
  • Fax: 732-780-1050
Mailing address:
  • Phone: 732-244-8700
  • Fax: 732-244-8569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number450R00005400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number450R00002200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number45PR00000700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number450R00005400
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number450R00005400
License Number StateNJ

VIII. Authorized Official

Name: IVAN SABEL
Title or Position: CEO
Credential:
Phone: 732-244-8700