Innovative Spine Care, LLC
NPI 1952425621 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Paramus, NJ
Innovative Spine Care, LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Paramus, NJ (NPI 1952425621).
Provider details
- NPI number
- 1952425621
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tatiana Sharahy, Owner(201) 444-0020
- License
- 25MA07099100 (NJ)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 25MA07099100 (NJ)
Allopathic & Osteopathic Physicians
Chiropractic Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Pure Anti Aging Medical Center
- Doing business as
- Pure Anti Aging Medical Center
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Frequently asked questions
- What is Innovative Spine Care, LLC's NPI number?
- Innovative Spine Care, LLC's National Provider Identifier (NPI) is 1952425621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Spine Care, LLC?
- Innovative Spine Care, LLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Spine Care, LLC located?
- Innovative Spine Care, LLC's practice location on file with NPPES is 18 W Ridgewood Ave Fl 2, Paramus, NJ 07652-2333.
- What is Innovative Spine Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Spine Care, LLC is (201) 444-0020.
- Who is the authorized official for Innovative Spine Care, LLC?
- The authorized official listed on Innovative Spine Care, LLC's NPPES record is Tatiana Sharahy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Spine Care, LLC's NPI active?
- Yes — Innovative Spine Care, LLC's NPI (1952425621) is active in the NPPES registry as of the last update on 2023-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.