Active NPI
Elmwood Park Spine Care
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Elmwood Park, NJ
National Provider Identifier
1184948846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MA08404400
- Legal business name
- ELMWOOD PARK SPINE CARE
- Practice address
- 554 Boulevard
Elmwood Park, NJ 07407-2031 - Phone
- (201) 797-4500
- Fax
- (201) 797-8005
- NPI assigned
- Mar 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arvinder Singh Dhillon, M.D.
- Title
- President
- Phone
- (781) 710-3843
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA08404400 | NJ | Primary |
Addresses
Primary practice location
554 Boulevard
Elmwood Park, NJ 07407-2031
Mailing address
62 Woodward LN
Basking Ridge, NJ 07920-2723
Phone (781) 710-3843
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Southfield, MI
- NPI 1932317260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1184948846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 WOODWARD LN",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202723",
"telephone_number": "781-710-3843",
"fax_number": "908-647-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 BOULEVARD",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074072031",
"telephone_number": "201-797-4500",
"fax_number": "201-797-8005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMWOOD PARK SPINE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "DHILLON",
"authorized_official_first_name": "ARVINDER",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-710-3843",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA08404400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.