PAIN VEIN & AESTHETICS MGMT LLC (NPI# 1275167967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275167967 |
| Entity Type | Organization |
| Organization Name | PAIN VEIN & AESTHETICS MGMT LLC |
| Other Organization Name | DR'S CHOICE |
| Practice Address |
1060 Broad St Newark NJ 07102-2397 |
| Mailing Address |
200 Walt Whitman Ave Mount Laurel NJ 08054-1118 |
| Practice Telephone | 8565771435 |
| Practice Fax Number | 8567806219 |
| Mailing Telephone | 8565771435 |
| Mailing Fax Number | 8567806219 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | DR. ASIM H KHAN (PRESIDENT) |
| Authorized Official Telephone | 8565771435 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DR'S CHOICE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1060 Broad St, Newark, NJ 071022397 | 7323884787 | 7323884380 |
| Street Address |
1060 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378434 | Rajan S Shah | Internal Medicine | 1060 Broad St, Newark, NJ 07102 | 2006-06-26 |
| 1194235010 | Karla M Cayamcela | Physical Therapy Assistant | 1060 Broad St, Baesment, Newark, NJ 07018 | 2017-10-05 |
| 1285028217 | Orthosports Physical Therapy and Rehabilitation PC | Physical Therapist | 1060 Broad St, Grnd Floor, Newark, NJ 07102-2397 | 2015-03-27 |
| 1033511647 | Ami Shah | Pharmacist | 1060 Broad St, Newark, NJ 07102-2397 | 2014-09-25 |
| 1578810289 | Kimberly Physical Therapy & Rehabilitation | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2012-08-13 |
| 1518268499 | Advanced Foot & Ankle Center Inc. | Podiatrist | 1060 Broad St, Newark, NJ 07102-2397 | 2010-11-09 |
| 1265627376 | Rajan Shah Md Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1740475854 | Essex Plaza Medical Associates Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1336354919 | Happy Days II Adult Heathcare | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2007-05-14 |
| 1053480475 | Vikas S. Bawa | Podiatrist | 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397 | 2006-11-07 |
| Find all providers in the same location | ||||
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588146864 | Living Pain Free People, LLC | Pain Medicine | 412 Capitol Trl, Newark, DE 19711-3865 | 2018-09-03 |
| 1437201332 | Andrew Greg Kaufman | Pain Medicine | 90 Bergen St Ste 3400, Newark, NJ 07103-2425 | 2007-01-18 |
| 1578637260 | Amgad Aly Hessein | Pain Medicine | 268 Ml King Blvd, St Michaels Hospital, Newark, NJ 07102 | 2006-11-17 |
| 1801340385 | Innovative Spine and Pain Center, P.C. | Pain Medicine | 90 Bergen St, Suite 3400, Newark, NJ 07103-2425 | 2016-08-12 |
| 1942638085 | Ark Pain Management, LLC | Pain Medicine | 430 Christiana Medical Ctr, Newark, DE 19702-1654 | 2013-10-29 |
| 1487937132 | Freeman Pain Institute | Pain Medicine | 266-272 Chestnut St, Newark, NJ 07105-6521 | 2011-09-20 |
| 1366686610 | Newark Rehabilitation Center Pa | Pain Medicine | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-04-29 |
| 1487718763 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702 | 2006-12-20 |
| 1508876848 | Frank John Falco | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 | 2006-08-09 |
| 1831148410 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 | 2006-05-09 |
| Find all providers in NEWARK | ||||
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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.