Healthcare Provider Details

I. General information

NPI: 1811800378
Provider Name (Legal Business Name): DG SPINAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 MARKET ST STE 5
SADDLE BROOK NJ
07663-5996
US

IV. Provider business mailing address

11040 CORONA AVE
CORONA NY
11368-4135
US

V. Phone/Fax

Practice location:
  • Phone: 516-788-4788
  • Fax: 212-208-2949
Mailing address:
  • Phone: 516-788-4788
  • Fax: 212-208-2949

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: ROSEMARIE DIAZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 646-271-3994