New Jersey Institute for Comprehensive Spine Care LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

NEW JERSEY INSTITUTE FOR COMPREHENSIVE SPINE CARE LLC

Practice address

25 Rockwood PL Ste 335
Englewood, NJ 07631-4959

Phone

(877) 854-8274

Fax

(201) 947-0850

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Dawn Lavaughncarrero

Title

Director of Operations

Phone

(877) 854-8274

Specialties & licenses 3

Addresses

Other names 1

• The Institute for Comprehensive Spine Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Gbolahan Olawole Okubadejo, MD

  • Orthopaedic Surgery of the Spine Physician
  • Englewood, NJ
  • NPI 1497947022

  NY

  Medicare reassignment NPD
• Jose J. Pinto, D.O.

  • Obstetrics & Gynecology Physician
  • Springfield, NJ
  • NPI 1982643045
  NPD (past)
• Mark R Schoenfeld, M.D.

  • Anesthesiology Physician
  • Springfield, NJ
  • NPI 1699702019
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1831467596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 335",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "877-854-8274",
            "fax_number": "201-947-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 335",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "877-854-8274",
            "fax_number": "201-947-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY INSTITUTE FOR COMPREHENSIVE SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "LAVAUGHNCARRERO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "877-854-8274"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Institute for Comprehensive Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery of the Spine Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.