Jersey Spine Associates LLC
NPI 1093095937ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Marlton, NJ
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Marlton, New Jersey, registered in NPPES in August 2011. The authorized official on file is Ravi Kumar Ponnappan, MD, Orthopaedic Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093095937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2011 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Dec 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | 25MA08240900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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