Organization Active NPI

Nuebac LLC

  • Orthopaedic Surgery of the Spine Physician
  • New York, NY
National Provider Identifier
1437968039
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Gbolabo Sokunbi, MDNPI 1992039044
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)CodeLicenseStatePrimary
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, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250130000427 NY Part B Supplier - Clinic/Group Practice 7517496987 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY
O20250217000224 NJ Part B Supplier - Clinic/Group Practice 7517496987 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ; Saddle River, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.