Executive Spine Surgery
NPI 1063968360 · Neurological Surgery Physician · Hackettstown, NJ
Executive Spine Surgery is a Neurological Surgery Physician organization in Hackettstown, NJ (NPI 1063968360).
Provider details
- NPI number
- 1063968360
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Spivak, Neurosurgeon(908) 452-5612
- License
- 003005 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2016-08-28
Frequently asked questions
- What is Executive Spine Surgery's NPI number?
- Executive Spine Surgery's National Provider Identifier (NPI) is 1063968360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Spine Surgery?
- Executive Spine Surgery is classified in the NPPES registry as Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Executive Spine Surgery located?
- Executive Spine Surgery's practice location on file with NPPES is 657 Willow Grove St Ste 402, Hackettstown, NJ 07840.
- What is Executive Spine Surgery's phone number?
- The practice phone number listed in the NPPES registry for Executive Spine Surgery is (908) 452-5612.
- Who is the authorized official for Executive Spine Surgery?
- The authorized official listed on Executive Spine Surgery's NPPES record is Carl Spivak, Neurosurgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Spine Surgery's NPI active?
- Yes — Executive Spine Surgery's NPI (1063968360) is active in the NPPES registry as of the last update on 2016-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.