Organization Active NPI

Atlantic Brain and Spine LLC

  • Neurological Surgery Physician
  • Morristown, NJ
National Provider Identifier
1952095176
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ATLANTIC BRAIN AND SPINE LLC
Practice address
465 South St Ste 200
Morristown, NJ 07960-6439
Phone
(973) 971-7225
Fax
(973) 898-3905
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Bruce Dillon
Title
Director, Ambulatory Ventures
Phone
(973) 971-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

465 South St Ste 200
Morristown, NJ 07960-6439

Mailing address

465 South St Ste 200
Morristown, NJ 07960-6439
Phone (973) 971-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240215000938 NJ Part B Supplier - Clinic/Group Practice 5193169464 Receives reassigned benefits from 31 practitioners
Practice locations: Morristown, NJ; Toms River, NJ; Summit, NJ; New Brunswick, NJ; Englishtown, NJ; Marlboro, NJ; Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

21 US Highway 9
Ste 11
Manalapan, NJ 07726
Phone (973) 993-7000

100 Madison Ave
Fl 3
Morristown, NJ 07960
Phone (973) 971-6720

100 Madison Ave
Ste 3101
Morristown, NJ 07960
Phone (973) 267-9543

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

254 Easton Ave
Fl 4
New Brunswick, NJ 08901
Phone (973) 993-7100

11 Overlook Rd
Ste B110
Summit, NJ 07901
Phone (908) 522-2709

99 Beauvoir Ave
Fl 5
Summit, NJ 07901
Phone (908) 522-2829

1 Route 37 W
Ste 6
Toms River, NJ 08753
Phone (732) 698-8935

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1952095176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606439",
            "telephone_number": "973-971-7225",
            "fax_number": "973-898-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 200",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606439",
            "telephone_number": "973-971-7225",
            "fax_number": "973-898-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BRAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DIRECTOR, AMBULATORY VENTURES",
        "authorized_official_telephone_number": "973-971-7225"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.