Institute for Spine & Scoliosis PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA06999100 Issued in NJ

Legal business name

INSTITUTE FOR SPINE & SCOLIOSIS PA

Practice address

3100 Princeton Pike
BLDG 1
Lawrenceville, NJ 08648

Phone

(609) 912-1500

Fax

(609) 912-1600

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Darryl Antonacci, SPINE SURGEON MD

Title

Director

Phone

(609) 912-1500

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1487729687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-912-1500",
            "fax_number": "609-912-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-912-1500",
            "fax_number": "609-912-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR SPINE & SCOLIOSIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "ANTONACCI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DARRYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-912-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SPINE SURGEON MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD068759L",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA06999100",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "213845-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imagine Advanced Dental Arts PA
• Immeasurably More Counseling, LLC
• David Immerman, LCSW
• Inadvance Medicine Associates East
• Inops Medical Group L.L.C.
• Internal Medicine Associates of Lawrence P C
• Isd Trenton LLC
• Isd Trenton LLC
• Isn Sleep Center of Princeton, LLC
• Jackson Audiology, LLC

• Orthopaedic Surgery Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.