MINIMALLY INVASIVE AND REGENERATIVE SPINE INSTITUTE (NPI# 1063880011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063880011 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE AND REGENERATIVE SPINE INSTITUTE |
| Practice Address |
1054 Clifton Ave Clifton NJ 07013-3638 |
| Practice Telephone | 9737794100 |
| Mailing Telephone | 9737794100 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | TOMI PRVULOVIC (SOLE MBR) |
| Authorized Official Telephone | 9739034943 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA06129800 | NJ | Other Service Providers |
| Street Address |
1054 CLIFTON AVE |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962943811 | Siu Man Woo | Specialist | 605 Grove St Apt E16, Clifton, NJ 07013-3868 | 2017-03-11 |
| 1730539958 | Zehal Suliman | Specialist | 15 Richland Ct, Apt D, Clifton, NJ 07012-6376 | 2016-06-18 |
| 1114387396 | Lori Scudillo | Specialist | 26 Cottage Ln, Clifton, NJ 07012-2104 | 2016-03-01 |
| 1871961029 | Chana Mittel | Specialist | 541 Passaic Ave, Clifton, NJ 07014-1211 | 2015-09-04 |
| 1639591357 | Comprehensive Medical Therapeutics, P.C. | Specialist | 1360 Clifton Ave # 275, Clifton, NJ 07012-1343 | 2014-01-15 |
| 1336570266 | Eliezer Krohn | Specialist | 354 South Pkwy, Clifton, NJ 07014-1225 | 2013-12-03 |
| 1326395401 | Melody Bobe | Specialist | 58 Mahar Ave, Clifton, NJ 07011-1309 | 2012-08-08 |
| 1184986002 | Yanela Rodriguez | Specialist | 259 Luddington Avenue, Clifton, NJ 07011 | 2012-06-15 |
| 1902042286 | Joni Felicia Jefferson | Specialist | 852 Route 3 Ste 200, Clifton, NJ 07012-2344 | 2008-12-17 |
| 1972667467 | Vaishali Bhavsar | Specialist | 144 Martin Ave, Clifton, NJ 07012-1111 | 2006-12-20 |
| Find all providers in CLIFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.