Organization Active NPI

South Jersey Brain and Spine Surgery, LLC

  • Neurological Surgery Physician
  • Galloway, NJ
National Provider Identifier
1265632533
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SOUTH JERSEY BRAIN AND SPINE SURGERY, LLC
Practice address
76 W Jimmie Leeds Rd
Ste 501
Galloway, NJ 08205-9411
Phone
(609) 404-9300
Fax
(609) 404-9305
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Syed M a Karim, MD
Title
Provider
Phone
(609) 404-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

76 W Jimmie Leeds Rd
Ste 501
Galloway, NJ 08205-9411

Mailing address

76 W Jimmie Leeds Rd
Ste 501
Galloway, NJ 08205-9411
Phone (609) 404-9300

National Provider Directory

National Provider Directory

Locations

76 W Jimmie Leeds Rd
Ste 501
Galloway, NJ 08205
Phone (609) 404-9300

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1265632533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD",
            "address_2": "STE 501",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-404-9300",
            "fax_number": "609-404-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD",
            "address_2": "STE 501",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-404-9300",
            "fax_number": "609-404-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY BRAIN AND SPINE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "609-404-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.