| Angel Gabriel Chinea Vicente, MD | |
| 
					1680 Route 23, Wayne, NJ 07470-7501  | |
| (973) 633-1122 | |
| Not Available | 
| Full Name | Angel Gabriel Chinea Vicente | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 1680 Route 23, Wayne, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689107054 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | 25MA12175900 (New Jersey) | Primary | 
| Entity Name | North Jersey Spine Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841375300 PECOS PAC ID: 5597859884 Enrollment ID: O20070918000081  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angel Gabriel Chinea Vicente, MD 17 Davis Blvd, Suite 308, Tampa, FL 33606-3475 Ph: (813) 250-2506  | Angel Gabriel Chinea Vicente, MD 1680 Route 23, Wayne, NJ 07470-7501 Ph: (973) 633-1122  | 
David C Sundstrom, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550  | |
Rajnik W Raab, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550  | |
Dr. Shiveindra B Jeyamohan, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1680 Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550  |