NJ Spine &Joint LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA072674 Issued in NJ

Legal business name

NJ SPINE &JOINT LLC

Practice address

870 Pompton Ave Unit a
Cedar Grove, NJ 07009-1203

Phone

(973) 493-7607

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By 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

Muhammad Asad Mirza, MD

Title

President

Phone

(973) 493-7607

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1215354436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 POMPTON AVE UNIT A",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091203",
            "telephone_number": "973-493-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 POMPTON AVE UNIT A",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091203",
            "telephone_number": "973-493-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ SPINE &JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-493-7607",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA072674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.