OrganizationActive
Jersey Spine Associates LLC
NPI 1093095937 · Orthopaedic Surgery of the Spine Physician · Marlton, NJ
Provider details
- NPI number
- 1093095937
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ravi Ponnappan, Orthopaedic Surgeon(609) 601-4920
- License
- 25MA08240900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
750 Route 73 South
Suite 301
Marlton, NJ 08053-5343
Phone: (609) 601-4920
Fax: (609) 601-4921
Approximate (ZIP-level) locationGet directions
Mailing address
750 Route 73 South
Marlton, NJ 08053-5343
Registry dates
- Enumerated
- 2011-08-24
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.