Organization Active NPI

Academic Spine Consultants, LLC

  • Neurological Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1669340840
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ACADEMIC SPINE CONSULTANTS, LLC
Practice address
9602 Vescovato Way
Boca Raton, FL 33496-3830
Phone
(312) 450-5880
Fax
(312) 577-0800
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Dr. Sergey Neckrysh, MDNPI 1285736637
Title
Director
Phone
(312) 450-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

9602 Vescovato Way
Boca Raton, FL 33496-3830

Mailing address

9602 Vescovato Way
Boca Raton, FL 33496-3830
Phone (312) 450-5880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1669340840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 VESCOVATO WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963830",
            "telephone_number": "312-450-5880",
            "fax_number": "312-577-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 VESCOVATO WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963830",
            "telephone_number": "312-450-5880",
            "fax_number": "312-577-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC SPINE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "NECKRYSH",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-450-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.