Healthcare Provider Details

I. General information

NPI: 1699295287
Provider Name (Legal Business Name): APEX SPORTS AND REGENERATIVE MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 N GILBERT ST
TINTON FALLS NJ
07701-4955
US

IV. Provider business mailing address

55 N GILBERT ST
TINTON FALLS NJ
07701-4955
US

V. Phone/Fax

Practice location:
  • Phone: 732-385-2739
  • Fax:
Mailing address:
  • Phone: 732-385-2739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number25MB09048500
License Number StateNJ

VIII. Authorized Official

Name: DR. DANIEL SAVARINO
Title or Position: PROVIDER
Credential: DO
Phone: 732-385-2739