Spine Orthopedic and Sports Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06785400 Issued in NJ

Legal business name

SPINE ORTHOPEDIC AND SPORTS MEDICINE

Practice address

1084 Main Ave
Clifton, NJ 07011-2330

Phone

(973) 470-8848

Fax

(973) 470-8826

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirza Beg, MD

Title

Director

Phone

(973) 470-8848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1649469081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-470-8848",
            "fax_number": "973-470-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-470-8848",
            "fax_number": "973-470-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ORTHOPEDIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "BEG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-470-8848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06785400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Therapy Source Inc
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• Liss Speziale, NP
• Spinal Solutions
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• Spine Specialist
• Springer Orthopedic PA
• St Josephs Hospital and Medical Center
• St Josephs Medical Group PC
• St. Joseph Regional Medical Center

• Specialist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.