NPIMap

Organization Active NPI

Spine Surgery Associates & Discovery Imaging PC

  • Orthopaedic Surgery of the Spine Physician
  • Newton, NJ
National Provider Identifier
1467840421
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
25MA05026500 Issued in NJ
Legal business name
SPINE SURGERY ASSOCIATES & DISCOVERY IMAGING PC
Practice address
280 Newton Sparta Rd
Newton, NJ 07860-2775
Phone
(908) 532-0576
Fax
(908) 532-0578
NPI assigned
Dec 29, 2014
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SPINE SURGERY ASSOCIATES & DISCOVERY IMAGING PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Mr. Paul P Vessa, M.D.
Title
President
Phone
(908) 532-0576

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA68160 NJ
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA05026500 NJ Primary
Physical Medicine & Rehabilitation Physician 208100000X 25MA05758800 NJ

Addresses

Primary practice location

280 Newton Sparta Rd
Newton, NJ 07860-2775

Mailing address

PO Box 323
Pluckemin, NJ 07978-0323
Phone (908) 532-0576

National Provider Directory

National Provider Directory
Tax ID family
Spine Surgery Associates Discovery Imaging PC3 organizations share this tax ID, including this one
Part of
Spine Surgery Associates Discovery Imaging PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1467840421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "PLUCKEMIN",
            "state": "NJ",
            "postal_code": "079780323",
            "telephone_number": "908-532-0576",
            "fax_number": "908-532-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602775",
            "telephone_number": "908-532-0576",
            "fax_number": "908-532-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SURGERY ASSOCIATES & DISCOVERY IMAGING PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE SURGERY ASSOCIATES & DISCOVERY IMAGING PC",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "VESSA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-532-0576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA68160",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA05026500",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05758800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.