Provider Demographics
NPI:1679284814
Name:JOINT REPLACEMENT & SPINE SURGICAL INSTITUTE LLC
Entity type:Organization
Organization Name:JOINT REPLACEMENT & SPINE SURGICAL INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKIBBEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-809-1000
Mailing Address - Street 1:1081 US HIGHWAY 22 STE 200
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2921
Mailing Address - Country:US
Mailing Address - Phone:908-809-1000
Mailing Address - Fax:908-809-1012
Practice Address - Street 1:1081 US HIGHWAY 22 STE 200
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2921
Practice Address - Country:US
Practice Address - Phone:908-809-1000
Practice Address - Fax:908-809-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical