Organization Active NPI

Prime Neuro Spine Institute Corp

Doing business as Prime Neuro Spine Institute

  • Neurological Surgery Physician
  • Short Hills, NJ
National Provider Identifier
1346989746
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PRIME NEURO SPINE INSTITUTE CORP
Doing business as
Prime Neuro Spine Institute
Practice address
20 Hobart Ave
Short Hills, NJ 07078-2029
Phone
(321) 276-9413
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Rachid Assina, MDNPI 1770744872
Title
President
Phone
(321) 276-9413

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

Addresses

Primary practice location

20 Hobart Ave
Short Hills, NJ 07078-2029

Mailing address

20 Hobart Ave
Short Hills, NJ 07078-2029
Phone (321) 276-9413

Other names 1

  • Prime Neuro Spine Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220713000749 NJ Part B Supplier - Clinic/Group Practice 7113308859 Receives reassigned benefits from 1 practitioner
Practice locations: Short Hills, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1346989746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOBART AVE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782029",
            "telephone_number": "321-276-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOBART AVE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782029",
            "telephone_number": "321-276-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME NEURO SPINE INSTITUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "ASSINA",
        "authorized_official_first_name": "RACHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-276-9413",
        "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": [
        {
            "organization_name": "Prime Neuro Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.