Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Spine & Wellness Center LLC

Organization Specialist · NPI 1588798409

Northeast Spine & Wellness Center LLC is a Specialist in Clark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1043 Raritan Rd
Clark, NJ 07066-1316
Phone: (732) 827-0800
Fax: (732) 827-0826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NJ)

Record details

NPI number1588798409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scot Paris — Owner · (732) 827-0800
NPI enumeratedMarch 15, 2007
Last updated in NPPESJuly 21, 2022
Mailing address1043 Raritan Rd, Clark, NJ 07066-1316

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