Healthcare Provider Details

I. General information

NPI: 1972414639
Provider Name (Legal Business Name): ADVANCED SPINE & MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 UNIVERSITY AVE
NEWARK NJ
07102-1914
US

IV. Provider business mailing address

160 UNIVERSITY AVE
NEWARK NJ
07102-1914
US

V. Phone/Fax

Practice location:
  • Phone: 201-906-9279
  • Fax: 201-983-6600
Mailing address:
  • Phone: 201-906-9279
  • Fax: 201-983-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER ZHURAVKOV
Title or Position: PRESIDENT
Credential: MD
Phone: 201-906-9279