Spine Institute of New Jersey LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

38MC00508400 Issued in NJ

Legal business name

SPINE INSTITUTE OF NEW JERSEY LLC

Practice address

375 Broadway
Suite 1
Paterson, NJ 07501-2294

Phone

(973) 925-1881

Fax

(973) 925-1884

NPI assigned

Sep 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David G Harris, DCNPI 1669594453

Title

Managing Administrator

Phone

(973) 925-1881

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Harris, D.C.

  • Chiropractor
  • Paterson, NJ
  • NPI 1669594453
  NPD (past) Authorized official
• Natalie Rodriguez

  • Occupational Therapist
  • Lyndhurst, NJ
  • NPI 1447835988
  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1013465947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BROADWAY",
            "address_2": "SUITE 1",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012294",
            "telephone_number": "973-925-1881",
            "fax_number": "973-925-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BROADWAY",
            "address_2": "SUITE 1",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012294",
            "telephone_number": "973-925-1881",
            "fax_number": "973-925-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING ADMINISTRATOR",
        "authorized_official_telephone_number": "973-925-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "38MC00508400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Paterson Family Dentistry
• Sovereign Medical Group, LLC
• Jonathan Bruce Spages, D.C.
• Special Parent Advocacy Group a NJ Non Profit Corporation
• Spine and Wellness Center of Paterson PC
• Jaya Srinivasan-Mehta, M.D.
• Pudchong S Srisethnil, M.D., F.A.C.E.
• St Joesphs Hospital
• St Joseph Regional Medical Center
• St Joseph Regional Medical Center

• Medical Specialty Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.