Organization Active NPI

Healthspine and Anesthesia Institute

  • Pain Medicine (Anesthesiology) Physician
  • Goshen, NY
National Provider Identifier
1669784773
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
HEALTHSPINE AND ANESTHESIA INSTITUTE
Practice address
70 Hatfield LN
Goshen, NY 10924-6734
Phone
(973) 865-5111
Fax
(201) 939-1701
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Tomi T Prvulovic, MD
Title
Owner
Phone
(973) 865-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

70 Hatfield LN
Goshen, NY 10924-6734

Mailing address

PO Box 4
Cedar Knolls, NJ 07927-0004
Phone (973) 865-5111

National Provider Directory

National Provider Directory

Locations

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1669784773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079270004",
            "telephone_number": "973-865-5111",
            "fax_number": "201-939-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HATFIELD LN",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246734",
            "telephone_number": "973-865-5111",
            "fax_number": "201-939-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPINE AND ANESTHESIA INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "PRVULOVIC",
        "authorized_official_first_name": "TOMI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-865-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.