Spring Spa Depot Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

SPRING SPA DEPOT CORPORATION

Practice address

6 Goble St
Newark, NJ 07114-2702

Phone

(888) 412-0570

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Garis L Silega, MD

Title

President

Phone

(862) 241-1800

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Spring Spa Depot Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Spring Spa Depot Corporation

  dba Gaviota Clinic

  • Rehabilitation Hospital Unit
  • Newark, NJ
  • NPI 1699066225
  NPD tax ID
• Spring Spa Depot Corporation

  • Durable Medical Equipment & Medical Supplies
  • Newark, NJ
  • NPI 1780073478
  NPD tax ID

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1083972442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32534",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071020934",
            "telephone_number": "888-412-0570",
            "fax_number": "862-241-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GOBLE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142702",
            "telephone_number": "888-412-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING SPA DEPOT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "SILEGA",
        "authorized_official_first_name": "GARIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-241-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DB",
            "identifier": "964725290",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spinalaid Healthcare
• Spine Center of Newark Corp
• Spirit Acupuncture PC
• Evan Spivack, DDS
• Tasha M Spivey
• Spring Spa Depot Corporation (Gaviota Clinic)
• Spring Spa Depot Corporation
• Monique Springer
• Springfield Medical Center of NJ PC
• Julia Sherrod Springfield, DDS

• Non-Pharmacy Dispensing Site in Newark, NJ
• Providers in Newark, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.