Active NPI
Nuebac LLC
- Orthopaedic Surgery of the Spine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- NUEBAC LLC
- Practice address
- 523 E 72ND St FL 3
New York, NY 10021-4099 - Phone
- (646) 797-8500
- Fax
- (917) 260-4565
- NPI assigned
- Jan 7, 2025
- Last updated
- Jan 7, 2025
- 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
- Gbolabo Sokunbi, MD
- Title
- Orthopedic Spine Surgeon
- Phone
- (732) 690-8500
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | NU | Primary |
Addresses
Primary practice location
523 E 72ND St FL 3
New York, NY 10021-4099
Mailing address
523 E 72ND St FL 3
New York, NY 10021-4099
Phone (646) 797-8500
Other practice location 1
140 E Ridgewood Ave
Paramus, NJ 07652-3917
Phone (646) 797-8500
Other practice location 2
82 E Allendale Rd
Saddle River, NJ 07458-3057
Phone (646) 797-8500
Other practice location 3
148 39th St Unit 7
Brooklyn, NY 11232-2713
Phone (646) 797-8500
Other practice location 4
15 E Midland Ave
Paramus, NJ 07652-2938
Phone (646) 797-8500
Other practice location 5
535 E 70th St
New York, NY 10021-4823
Phone (646) 797-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
148 39th St
Fl 17
Brooklyn, NY 11232
Phone (646) 797-8500
148 39th St
Unit 7
Brooklyn, NY 11232
Phone (646) 422-5900
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1376885467
-
- Physician Assistant
- New York, NY
- NPI 1477185809
-
- Sports Medicine (Family Medicine) Physician
- Brooklyn, NY
- NPI 1881857159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1437968039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 E 72ND ST FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214099",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 E 72ND ST FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214099",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565"
}
],
"practiceLocations": [
{
"address_1": "140 E Ridgewood Ave",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076523917",
"country_code": "US",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "82 E Allendale Rd",
"address_purpose": "LOCATION",
"city": "Saddle River",
"state": "NJ",
"postal_code": "074583057",
"country_code": "US",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "148 39th St Unit 7",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112322713",
"country_code": "US",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 E Midland Ave",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076522938",
"country_code": "US",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 E 70th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214823",
"country_code": "US",
"telephone_number": "646-797-8500",
"fax_number": "917-260-4565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NUEBAC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "SOKUNBI",
"authorized_official_first_name": "GBOLABO",
"authorized_official_title_or_position": "ORTHOPEDIC SPINE SURGEON",
"authorized_official_telephone_number": "732-690-8500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.