Neurosurgical & Spinal Specialists, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA07386100 Issued in NJ

Legal business name

NEUROSURGICAL & SPINAL SPECIALISTS, LLC

Practice address

851 Route 73 N Ste D
Marlton, NJ 08053-1275

Phone

(856) 372-9422

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Dana Cornog

Title

Practice Manager

Phone

(856) 372-9422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Mitchell, MD

  • Neurological Surgery Physician
  • Marlton, NJ
  • NPI 1548260722
  Medicare reassignment NPD
• Michael J. Paul, D.O.

  • Interventional Pain Medicine Physician
  • Marlton, NJ
  • NPI 1770528754
  Medicare reassignment NPD
• Sarah McMahon, PA-C

  • Physician Assistant
  • Marlton, NJ
  • NPI 1902562309
  NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1134624778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081080270",
            "telephone_number": "856-372-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 ROUTE 73 N STE D",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531275",
            "telephone_number": "856-372-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1868 Hooper Ave",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087538175",
            "country_code": "US",
            "telephone_number": "856-372-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 James St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203947",
            "country_code": "US",
            "telephone_number": "856-372-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3829 Church Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541105",
            "country_code": "US",
            "telephone_number": "856-372-9422",
            "fax_number": "856-409-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROSURGICAL & SPINAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "CORNOG",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "856-372-9422"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA07386100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Horwitz Nehila, RDN
• Neighborcare Home Medical Equipment LLC (Rotech)
• Stephanie Nelson
• Nermin Lazarus, DO LLC
• Dorothea Neuber, L.C.S.W
• Mara Neville, APN
• Nevyas Eye Associates of NJ PC (Nevyas Surgery Center)
• Nevyas Eye Associates of NJ PC
• New Age Behavioral PC (New AGE Behavioral)
• New Beginnings Community Care LLC

• Neurological Surgery Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.