Christiana Spine Center PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CHRISTIANA SPINE CENTER PA

Practice address

1101 Twin C LN Ste 202
Newark, DE 19713-2159

Phone

(302) 636-1164

NPI assigned

Aug 2, 2018

Organization subpart

Yes

Parent organization

CHRISTIANA SPINE CENTER PAAs reported in NPPES

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

Authorized official

Name

Valerie Manges

Title

Administrator

Phone

(302) 996-9522

Specialties & licenses 1

Addresses

Other names 1

• Physiatry Associates Former legal business name

Tax ID family

Christiana Spine Center PA3 organizations share this tax ID, including this one

Part of

Christiana Spine Center PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Christiana Spine Center PA

  dba Christiana Spine Center Imaging

  • Diagnostic Ultrasound Physician
  • Newark, DE
  • NPI 1427536333
  NPD tax ID
• Christiana Spine Center PA

  • Physical Medicine & Rehabilitation Physician
  • Newark, DE
  • NPI 1821059387
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Christiana Spine Center PA

  • Physical Medicine & Rehabilitation Physician
  • Newark, DE
  • NPI 1821059387
  NPPES parent name

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1770061681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 3302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TWIN C LN STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132159",
            "telephone_number": "302-636-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA SPINE CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA SPINE CENTER PA",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "MANGES",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-996-9522"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physiatry Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Physiatry Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christiana Neonatal Associates LLC
• Christiana Nuclear Medicine PA
• Christiana Psychiatric Services PA
• Christiana Spine Ambulatory Surgical Center, LLC
• Christiana Spine Center PA (Christiana Spine Center Imaging)
• Christiana Spine Center PA
• Christiana Spine, PA
• Christianacarehealthservices
• Christina L Taylor, LLC (Hope Rising Health Services, LLC)
• Christopher J Saunders, MD, PA

• Physical Medicine & Rehabilitation Physician in Newark, DE
• Providers in Newark, DE by specialty
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.