INSTITUTE FOR SPINE & SCOLIOSIS PA (NPI# 1487729687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487729687 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR SPINE & SCOLIOSIS PA |
| Practice Address |
3100 Princeton Pike Bldg 1 Lawrenceville NJ 08648 |
| Practice Telephone | 6099121500 |
| Practice Fax Number | 6099121600 |
| Mailing Telephone | 6099121500 |
| Mailing Fax Number | 6099121600 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | DR. MARK DARRYL ANTONACCI (DIRECTOR) |
| Authorized Official Telephone | 6099121500 |
| Authorized Official Credential | SPINE SURGEON MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD068759L | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 213845-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 25MA06999100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
3100 PRINCETON PIKE BLDG 1 |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831807 | Eric Arvind Gomes | Internal Medicine | 3100 Princeton Pike, Lawrenceville, NJ 08648-2300 | 2005-06-20 |
| 1952943714 | Jsf Professional Counseling Services, LLC | Counselor | 3100 Princeton Pike, Building 1, Suite I, Lawrenceville, NJ 08648 | 2019-10-14 |
| 1902339112 | Gni Comprehensive Pain Management LLC | Pain Medicine | 3100 Princeton Pike, Bldg. 3, Ste. D, Lawrenceville, NJ 08648-2300 | 2017-04-05 |
| 1902340755 | Allison Rovillos | Registered Nurse | 3100 Princeton Pike, Suite 1-d, Lawrenceville, NJ 08648-2300 | 2016-12-13 |
| 1184073983 | Paulina B Levinzon | Counselor | 3100 Princeton Pike, Building 1, Suite I, Lawrenceville, NJ 08648-2300 | 2016-06-13 |
| 1942670443 | Sunrise Behavioral Health Care LLC | Social Worker | 3100 Princeton Pike, Bldg 3; Ste B, Lawrenceville, NJ 08648-2300 | 2015-09-28 |
| 1437539715 | Alison Steinhauser | Psychologist | 3100 Princeton Pike, Bdg 3 Suite B, Lawrenceville, NJ 08648-2300 | 2015-06-02 |
| 1073902524 | Princeton Healthcare Affiliated Physicians PC | Internal Medicine | 3100 Princeton Pike, Bldg 3, 3rd Floor, Lawrenceville, NJ 08648-2300 | 2015-01-21 |
| 1851716781 | Princeton Pain Management & Wellness, LLC | Clinic/Center | 3100 Princeton Pike, Suite 1-i, Lawrenceville, NJ 08648-2300 | 2014-03-01 |
| 1689951923 | Jordan S Faiman | Counselor | 3100 Princeton Pike, Bldg3, Suite B, Lawrenceville, NJ 08648 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1730321985 | Obi Ugochukwu Osuji | Orthopaedic Surgery | 771 Old Norcross Rd Ste 390, Lawrenceville, GA 30046 | 2009-04-02 |
| 1013965375 | Ned B. Armstrong | Orthopaedic Surgery | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046 | 2006-05-05 |
| 1750342085 | Andrew P Harakas | Orthopaedic Surgery | 601-a Professional Drive, Suite 130, Lawrenceville, GA 30046 | 2006-03-28 |
| 1871593285 | Gary A Levengood | Orthopaedic Surgery | 1900 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2005-07-28 |
| 1356789192 | Kellie Kristin Middleton | Orthopaedic Surgery | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2013-06-13 |
| 1942648944 | Timilehin O Wusu | Orthopaedic Surgery | 771 Old Norcross Rd Ste 105, Lawrenceville, GA 30046-4977 | 2013-06-12 |
| 1073821989 | New Jersey Neck & Back Institute PC | Orthopaedic Surgery | 3131 Princeton Pike, Building 6, Suite 106, Lawrenceville, NJ 08648-2201 | 2010-09-14 |
| 1215249586 | Jeffrey Percey Smith Jr. | Orthopaedic Surgery | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2010-07-02 |
| 1740517457 | Laury A Cuddihy | Orthopaedic Surgery | 3100 Princeton Pike, Bldg 1, C/o Institute for Spine & Scoliosis, Lawrenceville, NJ 08648-2300 | 2009-11-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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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.