PHOENIX SPINE AND REGENERATIVE ORTHOPEDICS LLC (NPI# 1477032894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477032894 |
| Entity Type | Organization |
| Organization Name | PHOENIX SPINE AND REGENERATIVE ORTHOPEDICS LLC |
| Practice Address |
105 Raider Blvd Ste 208 Hillsborough NJ 08844-1528 |
| Practice Telephone | 2013340349 |
| Practice Fax Number | 8482162255 |
| Mailing Fax Number | 8482162255 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DR. ALEYA SALAM (OWNER) |
| Authorized Official Telephone | 2013440349 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
NJ | Allopathic & Osteopathic Physicians |
| Street Address |
105 RAIDER BLVD STE 208 |
| City | HILLSBOROUGH |
| State | NJ |
| Zip Code | 08844-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460490 | Suman Dahiya | Physical Therapist | Nathaniel Witherell, 70 Parsonage Rd, Greenwich, CT 08844 | 2020-02-26 |
| 1265082929 | Ashley Rose | Behavioral Analyst | 856 Hwy 206, Bldg A Unit 4, Hillsborough, NJ 08844 | 2019-09-16 |
| 1720562879 | Sidona Lynn Anderson | Behavioral Analyst | 419 Conover Dr., Hillsborough, NJ 08844 | 2018-09-24 |
| 1821574385 | Priti Trivedi | Dietitian, Registered | 3 Randolph Way, Hillsborough, NJ 08844 | 2018-07-17 |
| 1760971600 | Mobility Transport Services, LLC. | Non-emergency Medical Transport (VAN) | 120 Stryker Ln Ste 303, Hillsborough, NJ 08844 | 2018-05-07 |
| 1861999393 | Matheny School and Hospital | Day Training/Habilitation Specialist | 216 Valley Park Rd, Suites 3&4, Hillsborough, NJ 08844 | 2018-04-11 |
| 1750881728 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Corporal Langon Way, Apt. 102, Hillsborough, NJ 08844 | 2018-02-16 |
| 1184123606 | Nikhil Sekher | Pharmacy Technician | 613 Van Liew Court, Hillsborough, NJ 08844 | 2018-02-10 |
| 1063921716 | Aratiben Dhirubhai Patel | Physical Therapist | 15 Fisher Dr., Hillsborough, NJ 08844 | 2017-09-26 |
| 1629591151 | Midland Adult Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Gateway Boulevard, Apt 107, Hillsborough, NJ 08844 | 2017-07-17 |
| Find all providers in zip 08844 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| 1922547199 | Manalapan Medical Associates PC | Physical Medicine & Rehabilitation | 345 Route 9, Manalapan, NJ 07726-3239 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | HILLSBOROUGH |
| Zip Code | 08844 |
Please comment or provide details below to improve the information on PHOENIX SPINE AND REGENERATIVE ORTHOPEDICS LLC.
| 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.