Dante A Implicito (NPI# 1578586632, PAC ID# 7517925597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1578586632 |
| PAC ID by PECOS | 7517925597 |
| Professional Enrollment ID | I20050113000108 |
| Full Name | Dante A Implicito |
| Organization Legal Name | NEW JERSEY SPINAL MEDICINE AND SURGERY, P.A. |
| Address |
266 Harristown Rd Suite 100 Glen Rock NJ 07452-3302 |
| Phone Number | 2012517725 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6608834684 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310008 | HOLY NAME MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 266 Harristown Rd, Suite 100, Glen Rock, NJ 07452-3302 | 2012517725 | NEW JERSEY SPINAL MEDICINE AND SURGERY, P.A. |
| Organization Legal Name | NEW JERSEY SPINAL MEDICINE AND SURGERY, P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Koerner | Orthopedic Surgery | New Jersey Spinal Medicine and Surgery, P.a. | 266 Harristown Rd, Suite 100, Glen Rock, NJ 07452-3302 |
| Street Address |
266 HARRISTOWN RD SUITE 100 |
| City | GLEN ROCK |
| State | NJ |
| Zip | 07452-3302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel B Swartz | Clinical Social Worker | Inspire Wellness | 266 Harristown Rd, Suite 209, Glen Rock, NJ 07452-3321 |
| Amanda J Defeo | Physician Assistant | Rothman Institute of New Jersey Pa | 266 Harristown Rd, Suite 100, Glen Rock, NJ 07452-3302 |
| Evangeline Laxamana | Physical Therapy | Sportsmed Pt LLC | 266 Harristown Rd, Suite 200, Glen Rock, NJ 07452-3354 |
| Elizabeth A Frei | Clinical Social Worker | Inspire Wellness | 266 Harristown Rd, Suite 209, Glen Rock, NJ 07452-3321 |
| John Boamah Jr. | Chiropractic | Sportsmed Pt LLC | 266 Harristown Rd, Suite 200, Glen Rock, NJ 07452-3354 |
| Nazeli M Afarian | Clinical Social Worker | Inspire Wellness | 266 Harristown Rd, Suite 209, Glen Rock, NJ 07452-3321 |
| John D Koerner | Orthopedic Surgery | New Jersey Spinal Medicine and Surgery, P.a. | 266 Harristown Rd, Suite 100, Glen Rock, NJ 07452-3302 |
| Marta Profis | Occupational Therapy | Sportsmed Pt LLC | 266 Harristown Rd, Suite 200, Glen Rock, NJ 07452-3354 |
| Stephanie N Zaccaria | Physical Therapy | Sportsmed Pt LLC | 266 Harristown Rd, Suite 200, Glen Rock, NJ 07452-3354 |
| Allan F Santoalla | Physical Therapy | Sportsmed Pt LLC | 266 Harristown Rd, Suite 200, Glen Rock, NJ 07452-3354 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerard T Kramer | Chiropractic | Kramer Chiropractic Center | 519 S Broad St, Glen Rock, NJ 07452-1309 |
| Diane M Kramer | Chiropractic | Kramer Chiropractic Center | 519 S Broad St, Glen Rock, NJ 07452-1309 |
| Robert W Egermayer | Physical Therapy | 522 S Broad St, Glen Rock, NJ 07452-1325 | |
| Nancy K Becker | Occupational Therapy | Nancy K. Becker Otr/l, Cht, LLC | 522 S Broad St, Suite 9, Glen Rock, NJ 07452-1325 |
| Jonathan S Dosik | Dermatology | Dermatology Associates of Glen Rock Pa | 348 S Maple Ave, Glen Rock, NJ 07452-1542 |
| Sharon A Galvin | Dermatology | Dermatology Associates of Glen Rock Pa | 348 S Maple Ave, Glen Rock, NJ 07452-1542 |
| Philip J Aretsky | Otolaryngology | Philip J. Aretsky, Md Pa | 385 S Maple Ave, Glen Rock, NJ 07452-1543 |
| Linda J Liebowitz | Qualified Audiologist | Philip J. Aretsky, Md Pa | 385 S Maple Ave, Glen Rock, NJ 07452-1543 |
| Sandra Carlson | Internal Medicine | 385 S Maple Ave, Suite 101, Glen Rock, NJ 07452-1545 | |
| Terrylee Maimone | Optometry | 240 Rock Rd, Glen Rock, NJ 07452-1738 | |
| Find all physicians in zip 07452 | |||
| City | GLEN ROCK |
| Zip Code | 07452 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GLEN ROCK + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Dante A Implicito.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.