Spine Institute of Southern NJ, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SPINE INSTITUTE OF SOUTHERN NJ, PC

Practice address

512 Lippincott Drive
Marlton, NJ 08053-4806

Phone

(856) 797-9161

Fax

(856) 797-1288

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karalee Smith

Title

Practice Coordinator

Phone

(856) 797-9161

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Joan Cummings, PA-C

  • Surgical Physician Assistant
  • Shrewsbury, NJ
  • NPI 1144621962
  NPD (past)
• Marcelle F Norwood, CRNA

  • Certified Registered Nurse Anesthetist
  • King of Prussia, PA
  • NPI 1003891730
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1801968540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 LIPPINCOTT DRIVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534806",
            "telephone_number": "856-797-9161",
            "fax_number": "856-797-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 LIPPINCOTT DRIVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534806",
            "telephone_number": "856-797-9161",
            "fax_number": "856-797-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF SOUTHERN NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KARALEE",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "856-797-9161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theresa Spellman
• Peter G. Sperandio, M.D.
• Shannon Claire Spiezio
• Justine Diane Spisak-Mosher, DO
• Mary Spositi
• Lisa Maria Squeo, MA, LAC
• St Remi LLC
• Jessica St. Petery, M.A., B.C.B.A.

• Neurological Surgery Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.