Organization Active NPI

Spine Exposure Specialists LLC

  • Vascular Surgery Physician
  • Summit, NJ
National Provider Identifier
1801040027
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA60608 Issued in NJ
Legal business name
SPINE EXPOSURE SPECIALISTS LLC
Practice address
47 Maple Street
Suite 407
Summit, NJ 07901-2571
Phone
(908) 376-1529
Fax
(908) 634-0323
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Mrs. Vicky A Hofmeister, CPC
Title
Account Manager
Phone
(908) 376-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MA60608 NJ Primary

Addresses

Primary practice location

47 Maple Street
Suite 407
Summit, NJ 07901-2571

Mailing address

PO Box 157
Summit, NJ 07902-0151
Phone (908) 376-1529

National Provider Directory

National Provider Directory

Locations

47 Maple St
Ste 407
Summit, NJ 07901
Phone (908) 376-1529

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1801040027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079020151",
            "telephone_number": "908-376-1529",
            "fax_number": "908-634-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAPLE STREET",
            "address_2": "SUITE 407",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012571",
            "telephone_number": "908-376-1529",
            "fax_number": "908-634-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE EXPOSURE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "HOFMEISTER",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "908-376-1529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA60608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.