Provider Demographics
NPI:1063838977
Name:SPINE AND JOINTS SURGICAL ASSISTANTS LLC
Entity Type:Organization
Organization Name:SPINE AND JOINTS SURGICAL ASSISTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-825-1040
Mailing Address - Street 1:25 ROCKWOOD PL STE 335
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4959
Mailing Address - Country:US
Mailing Address - Phone:646-825-1040
Mailing Address - Fax:845-503-2316
Practice Address - Street 1:25 ROCKWOOD PL STE 335
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4959
Practice Address - Country:US
Practice Address - Phone:646-825-1040
Practice Address - Fax:845-503-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-16
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00187000363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty