Premier Orthopaedic Spine Associates, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA08542100 Issued in NJ

Legal business name

PREMIER ORTHOPAEDIC SPINE ASSOCIATES, LLC

Practice address

298 S Delsea Dr
Vineland, NJ 08360

Phone

(856) 896-2333

Fax

(856) 896-2334

NPI assigned

May 29, 2018

Last updated

Aug 28, 2018By 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

Rahul Shah, DO

Title

DO

Phone

(856) 896-2333

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCFGBA

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1851882666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604568",
            "telephone_number": "856-896-2333",
            "fax_number": "856-896-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-896-2333",
            "fax_number": "856-896-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDIC SPINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "856-896-2333",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08542100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PPS of NJ LLC
• Premier Brain and Spine LLC (Mid-Atlantic Pain Specialists)
• Premier Orthopaedic & Sports Medicine Assoc of Southern NJ LLC
• Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC
• Premier Orthopaedic Associates Surgical Center, LLC
• Vanessa Ann Prestis
• Deja Preston
• Zachary Price, CPRS
• Olivia Noelle Prince, DO
• Olena Protsko, CRNA

• Orthopaedic Surgery Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.