Spine and Peripheral Neurocare, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

185547 Issued in NY

Legal business name

SPINE AND PERIPHERAL NEUROCARE, PC

Practice address

420 E 72ND St
Suite 1J
New York, NY 10021-4650

Phone

(212) 988-4815

Fax

(212) 988-1122

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carl W. Heise, M.D.NPI 1154335776

Title

Managing Director

Phone

(212) 988-4815

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carl W. Heise, M.D.

  • Specialist
  • New York, NY
  • NPI 1154335776
  NPD (past) Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1275720278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 72ND ST",
            "address_2": "SUITE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214650",
            "telephone_number": "212-988-4815",
            "fax_number": "212-988-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 72ND ST",
            "address_2": "SUITE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214650",
            "telephone_number": "212-988-4815",
            "fax_number": "212-988-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PERIPHERAL NEUROCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "212-988-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "185547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Austin Spindel
• Lawrence Marshall Spindel, D.D.S.
• Gail Spindell, LCSW
• Britney Grace Spindler, LMSW
• Spine and Pain Consultant, PLLC
• Spine and Sports Medicine of New York PC
• Spine Health Orthopaedics PC
• Spine Nyc Chiropractic PC
• Spine Sports Occupational Rehabilitation Associates, LLC
• Spine Sprorts Occupational Rehab

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.