Provider Demographics
NPI:1740584010
Name:ORTHOPAEDIC AND SPINE INSTITUTE OF NJ PC
Entity Type:Organization
Organization Name:ORTHOPAEDIC AND SPINE INSTITUTE OF NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:ANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-264-8282
Mailing Address - Street 1:1 BETHANY RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1663
Mailing Address - Country:US
Mailing Address - Phone:732-264-8282
Mailing Address - Fax:732-888-0134
Practice Address - Street 1:1 BETHANY RD
Practice Address - Street 2:SUITE 21
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1663
Practice Address - Country:US
Practice Address - Phone:732-264-8282
Practice Address - Fax:732-888-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty