NORTH JERSEY SPINE GROUP LLC (NPI# 1841375300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841375300 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY SPINE GROUP LLC |
| Practice Address |
1680 Route 23 North 200 Wayne NJ 07470-7501 |
| Mailing Address |
1 W Ridgewood Ave 208 Paramus NJ 07652-2359 |
| Practice Telephone | 2014459327 |
| Practice Fax Number | 2014458739 |
| Mailing Telephone | 2014459327 |
| Mailing Fax Number | 2014458739 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID CHARLES SUNDSTROM (PARTNER) |
| Authorized Official Telephone | 2014456846 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207T00000X | Neurological Surgery | MA54659 | NJ | Allopathic & Osteopathic Physicians |
| X | 207T00000X | Neurological Surgery | MA071816 | NJ | Allopathic & Osteopathic Physicians |
| X | 208100000X | Physical Medicine & Rehabilitation | MA58325 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1680 ROUTE 23 NORTH 200 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246832 | David Charles Sundstrom | Neurological Surgery | 1680 Route 23, Suite 250, Wayne, NJ 07470-7501 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1063968360 | Executive Spine Surgery | Neurological Surgery | 657 Willow Grove St Ste 402, Hackettstown, NJ 07840 | 2016-08-28 |
| 1508224064 | Geoffrey Appelboom | Neurological Surgery | 703 Main St Ste A2404, Paterson, NJ 07503-2621 | 2016-01-29 |
| 1831568583 | Nj Neurosurgery, PC | Neurological Surgery | 400 Frank W Burr Blvd Ste 55, Atrium At Glenpoint, Ste 55, Teaneck, NJ 07666-6810 | 2015-09-23 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1861893588 | Abelardo Dario Inoa | Neurological Surgery | 6 Normandy Pkwy, Morristown, NJ 07960-5716 | 2014-09-12 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1912337312 | Functional Healthcare PC | Neurological Surgery | 234 Boundary Rd Unit 107, Marlboro, NJ 07746-1479 | 2013-11-21 |
| 1962849331 | David Weaver | Neurological Surgery | 725 Old Raritan Rd, Edison, NJ 08820-1021 | 2013-05-25 |
| 1831439272 | Vipin Kumar Gupta, Md Pa | Neurological Surgery | 2848 S Delsea Dr Ste 2b, Vineland, NJ 08360-7042 | 2013-02-21 |
| Find all providers with the same taxonomy | ||||
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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.