# JERSEY SPINE & ORTHOPEDICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093662793
- **Authorized official:** DR. NANDAN SHAH MD (OWNER)
- **Authorized official phone:** (630) 854-7066

## Contact information

- **Practice address:** 3540 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-3450
- **Practice address phone:** (301) 380-1332
- **Mailing address:** 6 AVE AT PORT IMPERIAL APT 6211, WEST NEW YORK, NJ 07093-8333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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