Specialists of the Spine, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA02551300 Issued in NJ

Legal business name

SPECIALISTS OF THE SPINE, LLC

Practice address

96 Gates Avenue
Montclair, NJ 07042

Phone

(973) 744-7111

Fax

(973) 746-6634

NPI assigned

Nov 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Harry Frank, M.D.NPI 1316976772

Title

Owner

Phone

(973) 744-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Harry Frank, M.D.

  • Specialist
  • Montclair, NJ
  • NPI 1316976772
  NPD (past) Authorized official
• Roderick John Clemente, M.D.

  • Neurological Surgery Physician
  • Montclair, NJ
  • NPI 1053405654
  NPD (past)
• Mariaelaina Sumas, MD

  • Neurological Surgery Physician
  • Carlisle, PA
  • NPI 1174577027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1013245489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GATES AVENUE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-744-7111",
            "fax_number": "973-746-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GATES AVENUE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-744-7111",
            "fax_number": "973-746-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS OF THE SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-744-7111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA02551300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmadou Tidiane Sow, M.D
• Sarah Spagnola Young
• Anthony Baptiste Spain, D.M.D.
• Sparkling Clean Home Care LLC
• Speaking of Aphasia, LLC
• Spectrum Health Associates, LLC
• Speech Genie Therapeutic Services
• Elaine Spieler
• Sportika Parabolic, LLC
• Silke Springorum

• Neurological Surgery Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.