Rejuvenate Joint and Spine PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

REJUVENATE JOINT AND SPINE PLLC

Practice address

75 Tresser Blvd Unit 429
Stamford, CT 06901-3360

Phone

(508) 542-1444

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Silva, DO

Title

Managing Member

Phone

(508) 542-1444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1770109910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 TRESSER BLVD UNIT 429",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013360",
            "telephone_number": "508-542-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TRESSER BLVD UNIT 429",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013360",
            "telephone_number": "508-542-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE JOINT AND SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "508-542-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Remiszewski, DMD, MDSC, FACP
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• Shantel Renwick
• Shannon Renzulli, LCSW

• Interventional Pain Medicine Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Interventional Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.