ADVANCED SPINE AND PAIN, LLC (NPI# 1407002124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407002124 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN, LLC |
| Other Organization Name | RELIEVERS |
| Practice Address |
1030 North Kings Highway Suite 200 Cherry Hill NJ 08034-1907 |
| Practice Telephone | 8889852727 |
| Practice Fax Number | 8567790211 |
| Mailing Telephone | 8567797774 |
| Mailing Fax Number | 8567790211 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | DR. YOUNG LEE (PARTNER) |
| Authorized Official Telephone | 8889852727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
NJ | Allopathic & Osteopathic Physicians | |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
NJ | Allopathic & Osteopathic Physicians | |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0154661 | 05 |
| Other Name | Type Code |
|---|---|
| Relievers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885116 | Advanced Spine and Pain, LLC | Pain Medicine | 3100 Hingston Ave Ste 104, Egg Harbor Township, NJ 08234-4409 | 2020-03-03 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1912532680 | Advanced Spine and Pain, LLC | Pain Medicine | 2760 Century Blvd, Wyomissing, PA 19610-3359 | 2020-03-03 |
| 1104352335 | Advanced Spine and Pain, LLC | Non-Pharmacy Dispensing Site | 2 8th St, Hammonton, NJ 08037-3347 | 2017-05-09 |
| 1902358914 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 750 Mantua Pike, Woodbury, NJ 08097-1142 | 2016-10-26 |
| 1851764476 | Advanced Spine and Pain, LLC | Psychiatry & Neurology | 2100 Keystone Ave, Suite 407, Drexel Hill, PA 19026-1129 | 2015-11-04 |
| 1285007880 | Advanced Spine and Pain, LLC | Psychiatry & Neurology | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 | 2015-11-04 |
| 1548639339 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 3535 Quakerbridge Rd, Suite 200, Hamilton, NJ 08619-1200 | 2015-09-22 |
| 1699154443 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 521 Sicklerville Rd, Sicklerville, NJ 08081-2636 | 2015-05-27 |
| 1154700904 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 222 New Rd, Suite 102, Linwood, NJ 08221-1299 | 2015-05-27 |
| Street Address |
1030 NORTH KINGS HIGHWAY SUITE 200 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| 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 |
|---|---|---|---|---|
| 1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
| 1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
| 1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
| 1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
| 1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
| 1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
| 1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
| 1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
| 1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
| 1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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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.