ADVANCED SPINE AND PAIN CENTER LLC


Address: 1060 Broad Street, Newark, NJ 07102
Phone: 6154724692

ADVANCED SPINE AND PAIN CENTER LLC (NPI# 1003279506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003279506
Entity Type Organization
Organization Name ADVANCED SPINE AND PAIN CENTER LLC
Practice Address 1060 Broad Street
Newark
NJ 07102
Mailing Address 1 Treetop Ct
Berkeley Heights
NJ 07922
Practice Telephone 6154724692
Enumeration Date 2016-04-01
Last Update Date 2016-04-01
Authorized Official Name SUKDEB DATTA (MANAGER)
Authorized Official Telephone 6154794692
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
25MA08823500 NJ Ambulatory Health Care Facilities

Office Location

Street Address 1060 BROAD STREET
City NEWARK
State NJ
Zip Code 07102

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1962981407 Crystal Kay-baune Mccown Social Worker 130 Orange St, Newark, NJ 07102 2018-08-07
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1992216527 Metropolitan Center for Human Services Psychologist 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 2017-10-23
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043652902 Comprehensive Spine and Pain Management Clinic/Center 550 Stanton Christiana Rd Ste 303, Newark, DE 19713-2125 2013-07-20
1518575802 Office Anesthesia Solutions Clinic/Center 120 N 11th St, Newark, NJ 07107-1118 2020-07-22
1336538305 Consolidated Care LLC Clinic/Center 410 Chancellor Ave, Newark, NJ 07112-1030 2015-01-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821630286 Fresh Start Medical Center Inc. Clinic/Center 317 Cleveland Ave Fl 1, Highland Park, NJ 08904-1817 2019-10-16
1407342728 Golden Holistic Treatment Center Clinic/Center 6809 Bergenline Ave, West New York, NJ 07093-1807 2018-07-10
1396235990 The Peace Within Spa & Clinic/Center 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 2018-05-18
1780174136 Edison Spine & Pain Center LLC Clinic/Center 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 2018-05-11
1598279218 Spine Institute of North America LLC Clinic/Center 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 2017-11-17
1245776582 Jennifer Arango Clinic/Center 139 77th St, North Bergen, NJ 07047-5836 2017-01-10
1457896003 Revive Spine and Pain Center Clinic/Center 515 South Broad St, Ste 201, Trenton, NJ 08611 2017-01-05
1043764269 Interventional Pain and Spine Institute Inc Clinic/Center 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 2016-08-04
1972978765 Riverside Pain Management LLC Clinic/Center 1025 Maxwell Ln Apt 515, Hoboken, NJ 07030-6825 2015-12-06
1861863524 Bridgeview Pain Center LLC Clinic/Center 1566 Lemoine Ave, Fort Lee, NJ 07024-5635 2015-10-07
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Competitor

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City NEWARK
Zip Code 07102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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