Jersey Spine Associates LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

25MA08240900 Issued in NJ

Legal business name

JERSEY SPINE ASSOCIATES LLC

Practice address

750 Route 73 South
Suite 301
Marlton, NJ 08053-5343

Phone

(609) 601-4920

Fax

(609) 601-4921

NPI assigned

Aug 24, 2011

Last updated

Dec 5, 2025By 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. Ravi Kumar Ponnappan, MDNPI 1558329201

Title

Orthopaedic Surgeon

Phone

(609) 601-4920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_JSA

Practitioners 4

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.

• Ravi Kumar Ponnappan, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Marlton, NJ
  • NPI 1558329201
  Medicare reassignment Authorized official
• Tracey A Hessert, APN

  • Adult Health Nurse Practitioner
  • Galloway, NJ
  • NPI 1598734477
  NPD (past)
• Ruth Ann Kilmer, RN, RNFA, CNOR, BSN

  • Registered Nurse First Assistant
  • Marlton, NJ
  • NPI 1891227518
  NPD (past)
• Jose Tello

  • Surgical Technologist
  • Marlton, NJ
  • NPI 1043671639
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1093095937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 SOUTH",
            "address_2": "SUITE 301",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535343",
            "telephone_number": "609-601-4920",
            "fax_number": "609-601-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 SOUTH",
            "address_2": "SUITE 301",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535343",
            "telephone_number": "609-601-4920",
            "fax_number": "609-601-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SPINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "PONNAPPAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "609-601-4920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA08240900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Janik, ATC
• Stephanie Janowsky
• Angela L Jarvis, D.C.
• Jefferson University Radiology Associates, LLC (Jefferson Outpatient Imaging)
• Jennifer Bergman Ms CCC LLC
• Jerseycare ABA LLC
• Heng Jiang, MD
• Justin Brian Jiulianti, DVM
• Jodi Schechtman Speech Services, LLC
• Loretta Johns, PHD

• Orthopaedic Surgery of the Spine Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.