Spine and Orthopedic Center of NJ LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA62853 Issued in NJ

Legal business name

SPINE AND ORTHOPEDIC CENTER OF NJ LLC

Practice address

90 Sparta Ave
Sparta, NJ 07871-1730

Phone

(973) 726-9500

Fax

(973) 726-0676

NPI assigned

Nov 20, 2006

Last updated

May 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David B Basch, M.D.NPI 1053322354

Title

President

Phone

(973) 726-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• David Basch, M.D.

  • Specialist
  • Sparta, NJ
  • NPI 1053322354
  Medicare reassignment NPD Authorized official
• Barry Ira Gross, MASSAGE THERAPIST

  • Massage Therapist
  • Sparta, NJ
  • NPI 1245383769
  NPD (past)
• Matthew J Poppe, PA

  • Physician Assistant
  • Hamilton, NJ
  • NPI 1932365285
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1730253931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711730",
            "telephone_number": "973-726-9500",
            "fax_number": "973-726-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711730",
            "telephone_number": "973-726-9500",
            "fax_number": "973-726-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC CENTER OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "BASCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-726-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA62853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sparta Therapy Solutions
• Sparta Township Board of Education
• Specialty Surgical Center LLC
• Specialty Surgical Center, LLC (Specialty Surgical Center Anesthesia)
• Joyce Spiegel, L.C.S.W.
• Jillian Spirko
• Cassidy Spohn, MA
• Sharon St. Angelo, APN
• Soraya St. Louis-Augustin
• Bonnie Joy Stackhouse, LCSW

• Specialist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.