Organization Active NPI

Spine & Joint Specialists LLC

  • Physical Medicine & Rehabilitation Physician
  • Cherry Hill, NJ
National Provider Identifier
1104543198
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SPINE & JOINT SPECIALISTS LLC
Practice address
1401 Marlton Pike East Suite 14
Cherry Hill, NJ 08034-2207
Phone
(856) 903-3331
Fax
(516) 747-4783
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Mrs. Ruthann P Kirschen
Title
Director Credentialing Data
Phone
(516) 641-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1401 Marlton Pike East Suite 14
Cherry Hill, NJ 08034-2207

Mailing address

P.O. Box 325
Ramsey, NJ 07446-0325
Phone (856) 903-3331

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Priority1Mineola@aol.com Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1104543198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 325",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074460325",
            "telephone_number": "856-903-3331",
            "fax_number": "516-747-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MARLTON PIKE EAST SUITE 14",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-903-3331",
            "fax_number": "516-747-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & JOINT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "KIRSCHEN",
        "authorized_official_first_name": "RUTHANN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING DATA",
        "authorized_official_telephone_number": "516-641-6214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Priority1Mineola@aol.com",
            "affiliation": "N",
            "endpointDescription": "Receipt & requests for records , patient info",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "receipt & requests for records, patient info",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Records Requests, patient info received",
            "address_1": "1401 Marlton Pike East Suite 14",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.