Wellspine,LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLSPINE,LLC

Practice address

612 3Rd Ave
Elizabeth, NJ 07202-3989

Phone

(908) 355-3949

NPI assigned

Apr 3, 2015

Last updated

Apr 3, 2015By 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

Mr. Oreste Santana

Title

Owner

Phone

(908) 355-3949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1801281076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 3RD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023989",
            "telephone_number": "908-355-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 3RD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023989",
            "telephone_number": "908-355-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ORESTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-355-3949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.