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General NPI Number Information
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NPI Number | 1760976120
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Entity Type | Organization
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Legal Business Name | AIM HEALTH THE SPINE AND REGENERATIVE MEDICINE INSTITUTE OF NY & NJ
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 65 E NORTHFIELD RD STE L
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4525
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Country | US
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Telephone | 973-251-2189
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Fax | 973-486-6186
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Provider Business Mailing Address
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Address Line | 65 E NORTHFIELD RD STE L
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4525
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Country | US
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Telephone | 973-251-2189
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Fax | 973-486-6186
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DAVID PERNA
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Credential | DO
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Telephone | 973-251-2189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MA10186300
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License Number State | NJ
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