JERSEY SPINE ASSOCIATES LLC NPI 1093095937

NPI Information

  • NPI: 1093095937
  • Provider Name: JERSEY SPINE ASSOCIATES LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 750 ROUTE 73 SOUTH
    SUITE 301
    MARLTON, NJ
    ZIP 08053
  • Phone: (609) 601-4920

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NPI Details

JERSEY SPINE ASSOCIATES LLC is an orthopaedic surgery of the spine orthopaedic surgery in Marlton, NJ. The provider is 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. JERSEY SPINE ASSOCIATES LLC NPI is 1093095937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 ROUTE 73 SOUTH
SUITE 301
MARLTON, NJ
ZIP 08053-343
Phone: (609) 601-4920
Fax: (609) 601-4921

The provider's authorized official is Ravi Kumar Ponnappan .
The authorized official title is Orthopaedic Surgeon and has the following contact phone number (609) 601-4920.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 5/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine25MA08240900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00452796MEDICARE PINNEW JERSEY
2113355PFCMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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