MEDICARE: HUNTSPINE, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1124828157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTSPINE, LLC.

Provider Business Mailing Address
First Line	:	695 BLOOMFIELD AVE FL 2
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2214
Country	:	US
Telephone Number	:	973-828-7800
Fax Number	:	973-354-5901

Provider Business Practice Location Address
First Line	:	695 BLOOMFIELD AVE FL 2
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2214
Country	:	US
Telephone Number	:	973-828-7800
Fax Number	:	973-354-5901

Authorized Official
Title or Position	:	CO-FOUNDER/CEO
Name	:	DR. GABRIEL E. HUNT JR.
Credential	:	MD
Telephone Number	:	973-828-7800

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	05/13/2026

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