NPIMap

Organization Active NPI

Igea Brain & Spine,PA

  • Neurological Surgery Physician
  • Union, NJ
National Provider Identifier
1710103288
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
IGEA BRAIN & SPINE,PA
Practice address
1057 Commerce Avenue
Union, NJ 07083-5025
Phone
(908) 688-8800
Fax
(908) 688-2377
NPI assigned
Apr 17, 2007
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Arlene Fineman, BS, CMM
Title
Assistant Administrator
Phone
(908) 688-8800

Specialties & licenses 1

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

Addresses

Primary practice location

1057 Commerce Avenue
Union, NJ 07083-5025

Mailing address

1057 Commerce Avenue
Union, NJ 07083-5025
Phone (908) 688-8800

Other practice location 1

1045 Park Ave Fl 1
New York, NY 10028-1030
Phone (800) 491-1066

Other identifiers 1

IdentifierTypeStateIssuer
DA9388OtherNJRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050711000028 NJ Part B Supplier - Clinic/Group Practice 2769418037 Receives reassigned benefits from 34 practitioners
Practice locations: Union, NJ
O20141016002075 NJ DME Supplier - Physician - Neurosurgery 2769418037 Practice locations: Union, NJ
O20180615000324 NY Part B Supplier - Clinic/Group Practice 2769418037 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1057 Commerce Ave
Union, NJ 07083
Phone (866) 467-1770

2333 Morris Ave
Ste B8
Union, NJ 07083
Phone (908) 688-8800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGJJCD

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1710103288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 COMMERCE AVENUE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-688-8800",
            "fax_number": "908-688-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 COMMERCE AVENUE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-688-8800",
            "fax_number": "908-688-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Park Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100281030",
            "country_code": "US",
            "telephone_number": "800-491-1066",
            "fax_number": "908-688-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IGEA BRAIN & SPINE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "FINEMAN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "908-688-8800",
        "authorized_official_credential": "BS, CMM"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA9388",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.