Provider Demographics
NPI:1235482803
Name:SPINE AND HEALTH CARE CENTER OF THE PLAINFIELDS
Entity Type:Organization
Organization Name:SPINE AND HEALTH CARE CENTER OF THE PLAINFIELDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-322-8300
Mailing Address - Street 1:212 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1206
Mailing Address - Country:US
Mailing Address - Phone:908-322-8300
Mailing Address - Fax:908-322-8311
Practice Address - Street 1:212 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060
Practice Address - Country:US
Practice Address - Phone:908-322-8300
Practice Address - Fax:908-322-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03981111N00000X
NJ38MC00670100111N00000X
NJ38MC00639000111N00000X
NJ25MB05752300204R00000X
NJ25MB08610000207LP2900X
NJ5MA07388400207LP2900X
NJ25MA05863000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty