OrganizationActive
Academic Spine Consultants, LLC
NPI 1669340840 · Neurological Surgery Physician · Boca Raton, FL
Provider details
- NPI number
- 1669340840
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sergey Neckrysh, Director(312) 450-5880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
9602 Vescovato Way
Boca Raton, FL 33496-3830
Phone: (312) 450-5880
Fax: (312) 577-0800
Street-level locationGet directions
Mailing address
9602 Vescovato Way
Boca Raton, FL 33496-3830
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.