Healthcare Provider Details

I. General information

NPI: 1639086036
Provider Name (Legal Business Name): SPINE CENTER OF NEWARK CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 UNIVERSITY AVE
NEWARK NJ
07102-1914
US

IV. Provider business mailing address

213 SUMMIT RD STE 2L
MOUNTAINSIDE NJ
07092-2316
US

V. Phone/Fax

Practice location:
  • Phone: 917-648-1179
  • Fax: 855-347-7879
Mailing address:
  • Phone: 908-264-8149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GIULIO CARUSO
Title or Position: OWNER/PROVIDER
Credential: DC
Phone: 917-648-1779