Dr Carl James Spivak, MD - Medicare Neurosurgery in Newton, NJ

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Dr Carl James Spivak, MD is a medicare enrolled "Neurological Surgery" physician in Newton, New Jersey. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Neurosurgery. His current practice location is 157 High St, Newton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 452-5612.

Dr Carl James Spivak is licensed to practice in New Jersey (license number 25MA09005200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316042989.

Contact Information

Dr Carl James Spivak, MD
157 High St,
Newton, NJ 07860-1004
(908) 452-5612
(908) 452-5624

Map and Direction




Physician's Profile

Full NameDr Carl James Spivak
GenderMale
SpecialityNeurosurgery
Experience21 Years
Location157 High St, Newton, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carl James Spivak graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1316042989
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991774804
  • Enrollment ID: I20121005000016

Medical Identifiers

Medical identifiers for Dr Carl James Spivak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316042989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 251625 (New York)Secondary
207T00000XNeurological Surgery 25MA09005200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Newton Medical CenterNewton, NJHospital
Hackettstown Medical CenterHackettstown, NJHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carl James Spivak allows following entities to bill medicare on his behalf.
Entity NameExecutive Spine Surgery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164789582
PECOS PAC ID: 4880843986
Enrollment ID: O20121005000006
Entity NamePremier Brain And Spine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922771377
PECOS PAC ID: 6608264833
Enrollment ID: O20211021000001

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl James Spivak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carl James Spivak, MD
90 Matawan Rd Ste 302,
Matawan, NJ 07747-2653

Ph: (732) 441-7177		Dr Carl James Spivak, MD
157 High St,
Newton, NJ 07860-1004

Ph: (908) 452-5612

Reviews and Comments


Neurological Surgery Doctors in Newton, NJ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.