Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Minimally Invasive and Regenerative Spine Institute

Organization Specialist · NPI 1063880011

Minimally Invasive and Regenerative Spine Institute provides Specialist services in Clifton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015

Practice location Address checks out

1054 Clifton Ave
Clifton, NJ 07013-3638 Not confirmed with CMS for 11 years — call before visiting
Phone: (973) 779-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06129800 (NJ)

Record details

NPI number1063880011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomi Prvulovic — Sole Mbr · (973) 903-4943
NPI enumeratedSeptember 8, 2015
Last updated in NPPESSeptember 8, 2015
Mailing address1054 Clifton Ave, Clifton, NJ 07013-3638

Other providers in Clifton