OrganizationActive
Executive Spine Surgery
NPI 1063968360 · Neurological Surgery Physician · Hackettstown, NJ
Provider details
- NPI number
- 1063968360
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carl Spivak, Neurosurgeon
- License
- 003005 (NY)
Practice location
657 Willow Grove St Ste 402
Hackettstown, NJ 07840
Phone: (908) 452-5612
Mailing address
657 Willow Grove St Ste 402
Hackettstown, NJ 07840-1868
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 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.