NORTHEAST SPINE & WELLNESS CENTER LLC
NPI 1588798409
Specialist in Clark, NJ
About Northeast Spine & Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST SPINE & WELLNESS CENTER LLC (NPI 1588798409) is a healthcare organization registered as a specialist in Clark, New Jersey and active in the NPI registry since March 2007. The organization lists Scot David Paris, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Spine & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Northeast Spine & Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Northeast Spine & Wellness Center LLC's NPI number?
The NPI number for Northeast Spine & Wellness Center LLC is 1588798409. It was assigned to this organization in the NPPES registry on March 15, 2007.
Where is Northeast Spine & Wellness Center LLC located?
Northeast Spine & Wellness Center LLC is located at 1043 Raritan Rd, Clark, NJ 07066. The listed phone number is (732) 827-0800.
What is Northeast Spine & Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Northeast Spine & Wellness Center LLC enrolled in Medicare?
Yes. Northeast Spine & Wellness Center LLC is registered in the Medicare PECOS enrollment system.
When is Northeast Spine & Wellness Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Independently-Practicing Physical Therapist) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northeast Spine & Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to Northeast Spine & Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (4), Physical Therapist in Private Practice (4) and General Surgery (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northeast Spine & Wellness Center LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Northeast Spine & Wellness Center Llc · NPI 1588798409
Specialist organization in Clark, New Jersey. Organization record, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1588798409 (Entity type: Organization)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Scot Paris, OWNER
## Practice location
- **Address:** 1043 RARITAN RD, Clark, NJ 07066-1316
- **Phone:** (732) 827-0800 · **Fax:** (732) 827-0826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, New Jersey, Independently-Practicing Physical Therapist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (4), Physical Therapist in Private Practice (4), General Surgery (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1588798409) · Data from the CMS NPPES public registry.