# REGENESPINE, LLC

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

## Provider details

- **NPI number:** 1689142622
- **Authorized official:** DR. STEPHEN J. ROMAN MD (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (609) 570-6980

## Contact information

- **Practice address:** 10 ROUTE 31 N, PENNINGTON, NJ 08534-1606
- **Practice address phone:** (609) 570-6980
- **Practice address fax:** (877) 732-7317
- **Mailing address:** 10 ROUTE 31 N, PENNINGTON, NJ 08534-1606
- **Mailing address phone:** (609) 570-6980
- **Mailing address fax:** (877) 732-7317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 07/25/2025
