Active NPIOrganization

Minimally Invasive And Regenerative Spine Institute

Specialist in Clifton, New Jersey

NPI Number1063880011
Practice location
1054 Clifton Ave, Clifton, NJ 07013-3638
Fax
—
Last updated
September 8, 2015

Minimally Invasive And Regenerative Spine Institute is a healthcare organization based in Clifton, NJ. Minimally Invasive And Regenerative Spine Institute practices in Clifton, NJ. The NPI Number for Minimally Invasive And Regenerative Spine Institute is 1063880011 and holds a License No. 25MA06129800 (NJ). The current practice location address for Minimally Invasive And Regenerative Spine Institute is 1054 Clifton Ave, Clifton, NJ 07013-3638 and can be reached out via phone at 973-779-4100.

Provider Profile Details

NPI Number
1063880011
Provider Name
Minimally Invasive And Regenerative Spine Institute
Provider Entity Type
Organization
Address
1054 Clifton Ave, Clifton, NJ 07013-3638
Phone Number
973-779-4100
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Tomi Prvulovic, MD · Sole Mbr · 973-903-4943
Provider Enumeration Date
September 8, 2015
Last Update Date
September 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1054 Clifton Ave
Clifton, NJ 07013-3638
Zip
07013-3638
Phone Number
973-779-4100
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1054 Clifton Ave
Clifton, NJ 07013-3638
City
Clifton
State
NJ
Zip
07013-3638
Phone Number
973-779-4100

License Information

License Number
25MA06129800
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Minimally Invasive And Regenerative Spine Institute?

The NPI number of Minimally Invasive And Regenerative Spine Institute is 1063880011. It was assigned on September 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Minimally Invasive And Regenerative Spine Institute?

Minimally Invasive And Regenerative Spine Institute is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06129800.

Where does Minimally Invasive And Regenerative Spine Institute practice?

The practice location is 1054 Clifton Ave, Clifton, NJ 07013-3638. The office can be reached at 973-779-4100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063880011 directly on the NPPES registry website.

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