Healthcare Provider Details

I. General information

NPI: 1588548366
Provider Name (Legal Business Name): PRECISION SPINE SOLUTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 VALLEY RD STE 203
WAYNE NJ
07470-3534
US

IV. Provider business mailing address

504 VALLEY RD STE 203
WAYNE NJ
07470-3534
US

V. Phone/Fax

Practice location:
  • Phone: 973-934-8635
  • Fax:
Mailing address:
  • Phone: 973-686-0700
  • Fax: 973-686-0701

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: ARASH EMAMI
Title or Position: MANAGING MEMBER
Credential:
Phone: 973-686-7000