NPIMap

Organization Active NPI

University Spine Center, P.C.

  • Specialist
  • Wayne, NJ
National Provider Identifier
1023224029
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
71196 Issued in NJ
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
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Arash Emami, M.D.NPI 1558302935
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

915 Clifton Ave
Clifton, NJ 07013
Phone (973) 614-9256

915 Clifton Ave
Ste 1
Clifton, NJ 07013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJCCA

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

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.

Verify at the official NPI Registry.