SPINE CENTER AND ORTHOPEDIC REHABILITATION OF ENGLEWOOD, PC (NPI# 1174612832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612832 |
| Entity Type | Organization |
| Organization Name | SPINE CENTER AND ORTHOPEDIC REHABILITATION OF ENGLEWOOD, PC |
| Practice Address |
106 Grand Ave 2nd Floor Englewood NJ 07631-3574 |
| Practice Telephone | 2015031900 |
| Practice Fax Number | 2015031901 |
| Mailing Telephone | 2015031900 |
| Mailing Fax Number | 2015031901 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ELIZABETH ANNE PETROCELLI (OFFICE MANAGER) |
| Authorized Official Telephone | 2015031900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01172600 | NJ | Ambulatory Health Care Facilities |
| X | 261QP3300X |
Clinic/Center Specialization: Pain |
25MA05923000 | NJ | Ambulatory Health Care Facilities |
| X | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
25MA05923000 | NJ | Ambulatory Health Care Facilities |
| Street Address |
106 GRAND AVE 2ND FLOOR |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933445 | Gustavo A Garces | Dentist | 106 Grand Ave, Ste 3, Englewood, NJ 07631-3570 | 2005-06-22 |
| 1760928030 | Spine Center and Orthopedic Rehabilitation | Non-Pharmacy Dispensing Site | 106 Grand Ave, Suite 220, Englewood, NJ 07631-3574 | 2017-01-11 |
| 1851845457 | Bergen County Gynecology, P.C. | Obstetrics & Gynecology | 106 Grand Ave, Suite #300, Englewood, NJ 07631-3574 | 2016-08-11 |
| 1730511437 | Comprehensive Ob/gyn, Pa | Specialist | 106 Grand Ave, Suite 300, Englewood, NJ 07631-3574 | 2013-08-05 |
| 1295022606 | Melanie Ann Howell | Student in an Organized Health Care Education/Training Program | 106 Grand Ave, Suite 435, Englewood, NJ 07631-3574 | 2011-07-06 |
| 1225353774 | Ned Lloyd Namoc Ruiz | Physical Therapist | 106 Grand Ave, Englewood, NJ 07631-3574 | 2010-03-27 |
| 1962632695 | Nora Taha | Physical Medicine & Rehabilitation | 106 Grand Ave, Suite 220, Englewood, NJ 07631-3574 | 2009-07-15 |
| 1073752556 | Yitzhack Asulin | Obstetrics & Gynecology | 106 Grand Ave, Suite 300, Englewood, NJ 07631-3574 | 2009-02-06 |
| 1225202526 | Daniel J Herera Md LLC | Physical Medicine & Rehabilitation | 106 Grand Ave, Suite 220, Englewood, NJ 07631-3574 | 2008-04-17 |
| 1760660559 | Sariye Savci | Obstetrics & Gynecology | 106 Grand Ave, Suite 300, Englewood, NJ 07631 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682952 | Nick Holm | Clinic/Center | 4801 S Cherokee St, Englewood, CO 80110-6510 | 2020-06-01 |
| 1639437486 | Samsara, Inc. | Clinic/Center | 300 East Hampden Avenue, Suite 100, Englewood, CO 80113-2638 | 2012-04-30 |
| 1982749172 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 7150 S. Fulton St., Bldg 200 C, Englewood, CO 80112 | 2007-02-21 |
| 1346862554 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 799 E Hampden Ave Ste 303, Englewood, CO 80113-2762 | 2020-05-11 |
| 1639719388 | Fuller Balance Therapy and Education | Clinic/Center | 730 W Hampden Ave, Englewood, CO 80110-2120 | 2020-01-10 |
| 1730640897 | J Medical | Clinic/Center | 3333 S Bannock St Ste 230, Englewood, CO 80110-2484 | 2019-03-29 |
| 1538528526 | N2 Physical Therapy | Clinic/Center | 601 E Hampden Ave, Suite #465, Englewood, CO 80113-3781 | 2016-02-18 |
| 1356768147 | Rock Solid Physical Therapy | Clinic/Center | 99 Inverness Dr E, Suite 200, Englewood, CO 80112-5118 | 2014-03-18 |
| 1013249770 | Holistic Manual Physical Therapy, Pa | Clinic/Center | 61 Grand Ave, Englewood, NJ 07631-3572 | 2010-02-05 |
| 1346480738 | Rejuvenate Rehabilitation Center | Clinic/Center | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2009-02-25 |
| Find all providers in ENGLEWOOD | ||||
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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.