Provider Demographics
NPI:1801504451
Name:SPINE AND PERFORMANCE INSTITUTE LLC
Entity type:Organization
Organization Name:SPINE AND PERFORMANCE INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALOK
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-898-3950
Mailing Address - Street 1:35-37 PROGRESS ST STE B5
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1179
Mailing Address - Country:US
Mailing Address - Phone:732-898-3950
Mailing Address - Fax:
Practice Address - Street 1:35-37 PROGRESS ST STE B5
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1179
Practice Address - Country:US
Practice Address - Phone:732-898-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty