Healthcare Provider Details

I. General information

NPI: 1760976120
Provider Name (Legal Business Name): AIM HEALTH THE SPINE AND REGENERATIVE MEDICINE INSTITUTE OF NY & NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 E NORTHFIELD RD STE L
LIVINGSTON NJ
07039-4525
US

IV. Provider business mailing address

65 E NORTHFIELD RD STE L
LIVINGSTON NJ
07039-4525
US

V. Phone/Fax

Practice location:
  • Phone: 973-251-2189
  • Fax: 973-486-6186
Mailing address:
  • Phone: 973-251-2189
  • Fax: 973-486-6186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number25MA10186300
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID PERNA
Title or Position: MANAGER
Credential: DO
Phone: 973-251-2189