Active NPI
University Spine Center, P.C.
- Specialist
- Wayne, NJ
National Provider Identifier
1023224029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 71196
- Legal business name
- UNIVERSITY SPINE CENTER, P.C.
- Practice address
- 504 Valley Rd
2ND Floor
Wayne, NJ 07470-3534 - Phone
- (973) 686-0700
- Fax
- (973) 686-0701
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arash Emami, M.D.
- Title
- Director/Partner
- Phone
- (973) 686-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 71196 | NJ | Primary |
Addresses
Primary practice location
504 Valley Rd
2ND Floor
Wayne, NJ 07470-3534
Mailing address
504 Valley Rd
2ND Floor
Wayne, NJ 07470-3534
Phone (973) 686-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080603000070 | NJ | Part B Supplier - Clinic/Group Practice | 6002986072 |
Receives reassigned benefits from 12 practitioners Practice locations: Clifton, NJ; Wayne, NJ |
National Provider Directory
National Provider DirectoryLocations
915 Clifton Ave
Ste 1
Clifton, NJ 07013
915 Clifton Ave
Clifton, NJ 07013
Phone (973) 614-9256
504 Valley Rd
Ste 203
Wayne, NJ 07470
Phone (973) 686-0700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHJCCA
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
- NPI 1124414826
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1023224029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 VALLEY RD",
"address_2": "2ND FLOOR",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703534",
"telephone_number": "973-686-0700",
"fax_number": "973-686-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 VALLEY RD",
"address_2": "2ND FLOOR",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703534",
"telephone_number": "973-686-0700",
"fax_number": "973-686-0701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY SPINE CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "EMAMI",
"authorized_official_first_name": "ARASH",
"authorized_official_title_or_position": "DIRECTOR/PARTNER",
"authorized_official_telephone_number": "973-686-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "71196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.