Organization Active NPI

Spine Center and Orthopedic Rehabilitation of Englewood, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood, NJ
National Provider Identifier
1174612832
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SPINE CENTER AND ORTHOPEDIC REHABILITATION OF ENGLEWOOD, PC
Practice address
500 Grand Ave Ste 1
Englewood, NJ 07631-4967
Phone
(201) 567-2277
Fax
(201) 567-7506
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Elizabeth A Baker, MDNPI 1225090210
Title
President
Phone
(201) 503-1900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X

Addresses

Primary practice location

500 Grand Ave Ste 1
Englewood, NJ 07631-4967

Mailing address

PO Box 118
Tenafly, NJ 07670-0118
Phone (201) 503-1900

Other practice location 1

150 North St
Teterboro, NJ 07608-1202
Phone (201) 393-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000098 NJ Part B Supplier - Clinic/Group Practice 6608892328 Receives reassigned benefits from 1 practitioner
Practice locations: Tenafly, NJ

National Provider Directory

National Provider Directory
Tax ID family
Spine Center and Orthopedic Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

106 Grand Ave
Ste 220
Englewood, NJ 07631
Phone (201) 503-1900

106 Grand Ave
Fl 2
Englewood, NJ 07631
Phone (201) 503-1900

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1174612832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076700118",
            "telephone_number": "201-503-1900",
            "fax_number": "201-503-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAND AVE STE 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314967",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 North St",
            "address_purpose": "LOCATION",
            "city": "Teterboro",
            "state": "NJ",
            "postal_code": "076081202",
            "country_code": "US",
            "telephone_number": "201-393-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE CENTER AND ORTHOPEDIC REHABILITATION OF ENGLEWOOD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-503-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.