Innovative Spine Care, LLC
Innovative Spine Care, LLC is a Rehabilitation Chiropractor in Paramus, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
18 W Ridgewood Ave Fl 2Paramus, NJ 07652-2333
Phone: (201) 444-0020
Fax: (201) 444-0026
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence 25MA07099100 (NJ) |
|---|---|
| Rehabilitation Chiropractor | Taxonomy 111NR0400X · Licence 25MA07099100 (NJ) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 25MA07099100 (NJ) |
Record details
| NPI number | 1952425621 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tatiana Sharahy — Owner · (201) 444-0020 |
| Other names | Pure Anti Aging Medical Center; Pure Anti Aging Medical Center |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | April 12, 2023 |
| Certification date | April 12, 2023 |
| Mailing address | 1144 E Ridgewood Ave, Ridgewood, NJ 07450-3915 |