Healthcare Provider Details

I. General information

NPI: 1053229716
Provider Name (Legal Business Name): GEMINI SPINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W CENTURY RD STE 111
PARAMUS NJ
07652-1466
US

IV. Provider business mailing address

37 W CENTURY RD STE 111
PARAMUS NJ
07652-1466
US

V. Phone/Fax

Practice location:
  • Phone: 973-803-2352
  • Fax: 201-648-2612
Mailing address:
  • Phone: 973-803-2352
  • Fax: 201-648-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ABHISHEK KUMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 718-974-6660