North NJ Spine & Rehab LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH NJ SPINE & REHAB LLC

Practice address

64 River Rd
Summit, NJ 07901-1443

Phone

(914) 376-6100

Fax

(914) 470-5056

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Anthony Piccillo

Title

Clinical Manager

Phone

(914) 376-6100

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1659739902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 RIVER RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011443",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RIVER RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011443",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH NJ SPINE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "PICCILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00731100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ Cosmetic Dentistry Associates, LLC
• NJ Plastic Surgery LLC
• NJ Spine and Neurosurgical Specialists
• Melissa Anita Nora
• Jasmine Norris
• Cheryl Ann Notari, PH.D.
• Teresa V Notari, MD
• Samantha Ann Notte, MS CCC-SLP
• Odon Makonko Nsungu, MD
• Roy M Nuzzo, M.D.

• Family Medicine Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.