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Executive Spine Surgery PC

Neurological Surgery Physician in Newton, NJ · enumerated 2012 · authorized official Irina Kamenetskiy, Adminitrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164789582

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Registry record

Entity type Organization (Type 2)
Legal business name Executive Spine Surgery PC
Practice address 157 High St, Newton, NJ, 07860
Phone (908) 452-5612
Fax (908) 452-5624
Enumeration date Apr 23, 2012
Last updated in NPPES Feb 9, 2021

Taxonomy & classification

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 25MA09005200 (NJ) Primary

Authorized official

Name Irina Kamenetskiy
Title Adminitrator
Phone (917) 697-5558

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Executive Spine Surgery PC?
The NPI for Executive Spine Surgery PC is 1164789582, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Executive Spine Surgery PC?
NPPES lists Irina Kamenetskiy (Adminitrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-09.