Active NPI
Healthspine and Anesthesia Institute
- Pain Medicine (Anesthesiology) Physician
- Goshen, NY
National Provider Identifier
1669784773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 DirectoryLocations
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.