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Organization
JERSEY SPINE & ORTHOPEDICS PC
Active
Organization
JERSEY SPINE & ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANDAN SHAH MD (OWNER)
(630) 854-7066
Entity
Organization
Contact information
Practice address
3540 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-3450
(301) 380-1332
Mailing address
6 AVE AT PORT IMPERIAL APT 6211, WEST NEW YORK, NJ 07093-8333
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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