Spine Medical Services, PLLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1184 Issued in NY

Legal business name

SPINE MEDICAL SERVICES, PLLC

Practice address

140 Adams Ave
Ste B-13
Hauppauge, NY 11788-3618

Phone

(631) 617-6011

Fax

(631) 617-6023

NPI assigned

Mar 21, 2011

Last updated

Apr 23, 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

Dr. Justin William Silverstein, DHSC,CNIM,NPI 1770714842

Title

Clinical Neurophysiologist

Phone

(631) 617-6011

Specialties & licenses 5

Addresses

Locations

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.

• Justin W Silverstein, DHSC, CNIM

  • Clinical Neurophysiology Physician
  • Hauppauge, NY
  • NPI 1770714842
  Authorized official Same address or phone

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1831498518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ADAMS AVE",
            "address_2": "STE B-13",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883618",
            "telephone_number": "631-617-6011",
            "fax_number": "631-617-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ADAMS AVE",
            "address_2": "STE B-13",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883618",
            "telephone_number": "631-617-6011",
            "fax_number": "631-617-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "SILVERSTEIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL NEUROPHYSIOLOGIST",
        "authorized_official_telephone_number": "631-617-6011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC,CNIM,"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "1184",
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "659",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Sperduto
• Basma Speregon
• Dawn Spero
• Christine Spilberg
• Mark L Spindler, RN
• Ann-Marie Spinella, NP
• Spotless Mind Mental Health Counseling PLLC
• Isabella Nicole Stagni, LMFT
• Morgan Staten, PT, DPT
• Lester David Stein, DMD

• Electroneurodiagnostic Specialist/Technologist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Electroneurodiagnostic Specialist/Technologist in New York

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