Renaldo Spine Surgery

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

25MA09490900 Issued in NJ

Legal business name

RENALDO SPINE SURGERY

Practice address

305 W Grand Ave
Montvale, NJ 07645-1813

Phone

(201) 326-4762

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Jasmine Asbury

Title

Supervisor of Outstanding Claims

Phone

(201) 326-4762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1487055315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-326-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-326-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENALDO SPINE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "ASBURY",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "SUPERVISOR OF OUTSTANDING CLAIMS",
        "authorized_official_telephone_number": "201-326-4762",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA09490900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.