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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
25MA08823500 | NJ | Ambulatory Health Care Facilities |
Street Address |
1060 BROAD STREET |
City | NEWARK |
State | NJ |
Zip Code | 07102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
Find all providers in zip 07102 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.