Healthcare Provider Details

I. General information

NPI: 1356935852
Provider Name (Legal Business Name): APEX NEUROSPINE INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CORLIES AVE SUITE 12
NEPTUNE NJ
07753
US

IV. Provider business mailing address

301 WHITE OAK RIDGE RD
SHORT HILLS NJ
07078-1155
US

V. Phone/Fax

Practice location:
  • Phone: 973-541-8065
  • Fax:
Mailing address:
  • Phone: 973-541-8065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PINAKIN JETHWA
Title or Position: PRESIDENT
Credential: MD
Phone: 973-541-8065