NEW JERSEY SPINAL ASSOCIATES, LLC (NPI# 1568973634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568973634 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY SPINAL ASSOCIATES, LLC |
| Practice Address |
761 Merrick Ave Westbury NY 11590-6608 |
| Practice Telephone | 5163578777 |
| Practice Fax Number | 5163570087 |
| Mailing Telephone | 5163578777 |
| Mailing Fax Number | 5163570087 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | MARGARET ROGERS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5163578777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
761 MERRICK AVE |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205893534 | Arsenia Rivera-manzi | Internal Medicine | 761 Merrick Ave, Westbury, NY 11590 | 2006-04-28 |
| 1659988574 | New York Medical Monitoring PC | Neuromusculoskeletal Medicine, Sports Medicine | 761 Merrick Ave, Westbury, NY 11590-6608 | 2020-09-24 |
| 1528436029 | Christina Bono | Physician Assistant | 761 Merrick Ave, Westbury, NY 11590-6608 | 2015-09-14 |
| 1427445253 | John Emil Akhnoukh | Anesthesiology | 761 Merrick Ave, Westbury, NY 11590-6608 | 2015-04-20 |
| 1710304605 | Anthony James Tisi | Physician Assistant | 761 Merrick Ave, Westbury, NY 11590-6608 | 2014-03-28 |
| 1376811620 | New York Orthopaedic & Comprehensive Medical Services, PC | Orthopaedic Surgery | 761 Merrick Ave, Westbury, NY 11590-6608 | 2011-12-01 |
| 1851607550 | Anthony Andrew Guttieri | Physician Assistant | 761 Merrick Ave, Westbury, NY 11590-6608 | 2010-08-19 |
| 1952554271 | Angel Macagno | Orthopaedic Surgery | 761 Merrick Ave, Westbury, NY 11590-6608 | 2008-10-30 |
| 1154581122 | Debora Mottahedeh | Physical Medicine & Rehabilitation | 761 Merrick Ave, Westbury, NY 11590-6608 | 2008-06-13 |
| 1851583819 | Mehul R Shah | Orthopaedic Surgery | 761 Merrick Ave, Westbury, NY 11590-6608 | 2007-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952554271 | Angel Macagno | Orthopaedic Surgery | 761 Merrick Ave, Westbury, NY 11590-6608 | 2008-10-30 |
| 1750440319 | Alexandre B De Moura | Orthopaedic Surgery | 761 Merrick Ave, Westbury, NY 11590-6608 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427442 | Medical Wellness Practice Pllc | Orthopaedic Surgery | 554 Tompkins Ave, Staten Island, NY 10305-1745 | 2020-11-03 |
| 1235691379 | Sny Care of Ny, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1a, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1366903676 | Spine Health Orthopaedics PC | Orthopaedic Surgery | 110 Duane St, New York, NY 10007-1126 | 2019-03-28 |
| 1902388259 | Han Jo Kim Md PC | Orthopaedic Surgery | 541 E 71st St Fl 4, New York, NY 10021-4871 | 2018-09-04 |
| 1073011342 | Joint Replacement Cin of Manhattan LLC | Orthopaedic Surgery | 420 Lexington Ave Rm 300, New York, NY 10170-0399 | 2018-01-31 |
| 1871001750 | Spine Cin of Buffalo LLC | Orthopaedic Surgery | 3725a Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1972011856 | Spine Cin of Hudson Valley LLC | Orthopaedic Surgery | 1131 Route 55 # 1a, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1699283572 | Joint Replacement Cin of Hudson Valley LLC | Orthopaedic Surgery | 1131 Route 55 # 1b, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1780071548 | Island Musculoskeletal Care Md PC | Orthopaedic Surgery | 10825 Jamaica Ave, Richmond Hill, NY 11418-2243 | 2015-04-20 |
| 1578990669 | Joseph Sae Hyun Pyun | Orthopaedic Surgery | 506 5th Ave, #2ff, Brooklyn, NY 11215-4812 | 2013-10-03 |
| Find all providers with the same taxonomy | ||||
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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.