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ATLANTIC BRAIN & SPINE LLC NPI 1689878126


NPI Information

NPI: 1689878126
Provider Name: ATLANTIC BRAIN & SPINE LLC

Doing Business As: ATLANTIC BRAIN & SPINE INSTITUTE

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 31D2133812

Address:
99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901
Phone: (908) 522-4979
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ATLANTIC BRAIN & SPINE LLC is a neurological surgery in Summit, NJ. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. ATLANTIC BRAIN & SPINE LLC NPI is 1689878126. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atlantic Brain & Spine Institute.

The provider's business location address is:

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901-533
Phone: (908) 522-4979
Fax: (908) 522-5377

The provider's authorized official is Richard M Hodosh .
The authorized official title is President and has the following contact phone number (908) 522-4979.

The CLIA number assigned to this NPI record is 31D2133812 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 11/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery25MA037407NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10182109MEDICAIDNEW JERSEY
2D98856MEDICARE UPINNEW 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: 4/28/2024

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