NJ Spine and Neurosurgical Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NJ SPINE AND NEUROSURGICAL SPECIALISTS

Practice address

33 Overlook Rd Ste 305
Summit, NJ 07901-3563

Phone

(908) 376-1520

Fax

(908) 503-0090

NPI assigned

Aug 30, 2024

Organization subpart

No

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

Authorized official

Name

Evalisa Centeno

Title

Credentialing Specialist

Phone

(908) 376-1520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilya Kupershtein, MD

  • Orthopaedic Surgery of the Spine Physician
  • Summit, NJ
  • NPI 1134379340
  NPD

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1649004664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD STE 305",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-376-1520",
            "fax_number": "908-503-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD STE 305",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013563",
            "telephone_number": "908-376-1520",
            "fax_number": "908-503-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ SPINE AND NEUROSURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "CENTENO",
        "authorized_official_first_name": "EVALISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "908-376-1520"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Nguyen
• Rebekah Nida, RN
• Nitika Goyal, DDS Corporation
• NJ Cosmetic Dentistry Associates, LLC
• NJ Plastic Surgery LLC
• Melissa Anita Nora
• Jasmine Norris
• North NJ Spine & Rehab LLC
• Cheryl Ann Notari, PH.D.
• Teresa V Notari, MD

• Surgery Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.