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NPI Code Detail

MEDICARE: KURDALI SPINE & PAIN CENTER, P.A.

MEDICARE: KURDALI SPINE & PAIN CENTER, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP3300XPain Clinic/Center

General Provider Information

NPI Number : 1568314102
Entity Type Code : Organization
Provider Name (Legal Business Name) : KURDALI SPINE & PAIN CENTER, P.A.
Provider Business Mailing Address
First Line : 140 E RIDGEWOOD AVE STE 415
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 222 NORTH AVE W
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-1495
Country : US
Telephone Number : 201-688-7200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BASIL KURDALI
Credential : MD
Telephone Number : 973-800-3112
Provider Enumeration Date : 02/13/2026
Last Update Date : 03/14/2026

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