AVICENNA MEDICAL ARTS, PLLC (NPI# 1639408461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639408461 |
| Entity Type | Organization |
| Organization Name | AVICENNA MEDICAL ARTS, PLLC |
| Practice Address |
660 Tennent Rd Suite 104 Manalapan NJ 07726-3163 |
| Mailing Address |
Po Box 302 Manalapan NJ 07726-0302 |
| Practice Telephone | 6465223664 |
| Practice Fax Number | 7328316171 |
| Mailing Telephone | 6465223664 |
| Mailing Fax Number | 6465223664 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | DR. ALEXANDER VEDER (OWNER) |
| Authorized Official Telephone | 6465223664 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202C00000X | Independent Medical Examiner | 25MA08792700 | NJ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 25MA08792700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA08792700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
660 TENNENT RD SUITE 104 |
| City | MANALAPAN |
| State | NJ |
| Zip Code | 07726-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902910003 | Karen Florence Delgado | Physical Therapist | 660 Tennent Rd, Suite 107, Manalapan, NJ 07726-3163 | 2006-08-18 |
| 1770074460 | Pathway Counseling Center LLC | Community/Behavioral Health | 660 Tennent Rd, Manalapan, NJ 07726-3163 | 2018-05-29 |
| 1821586058 | Maureen L Ryan | Social Worker | 660 Tennent Rd, Manalapan, NJ 07726-3163 | 2018-04-24 |
| 1225494305 | Professional Counseling & Development Center, LLC | Community/Behavioral Health | 660 Tennent Rd, Suite 104, Manalapan, NJ 07726-3163 | 2016-01-05 |
| 1477890150 | Devita Allen | Counselor | 660 Tennent Rd, Suite 104, Manalapan, NJ 07726-3163 | 2013-01-15 |
| 1619214004 | Ambient Rehabilitation | Clinic/Center | 660 Tennent Rd, Suite 107, Manalapan, NJ 07726-3163 | 2013-01-06 |
| 1417014135 | Elissa Arbeitman | Art Therapist | 660 Tennent Rd, Manalapan, NJ 07726-3163 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956445 | Rachel Constance | Social Worker | Margo Rappaport, 193 Us 9 Suite 2d, Englishtown, NJ 07726 | 2020-09-15 |
| 1225642879 | Monika Chomik | Counselor | 406 Bridge Plaza Drive, Manalapan Township, NJ 07726 | 2020-09-01 |
| 1487262440 | Francesca Marchese Nutrition | Dietitian, Registered | 145 Nj-33 East, Suite 2, Manalapan, NJ 07726 | 2020-07-16 |
| 1285242149 | Christine Po-ye Lam | Physical Therapist | 335 Route 9 South, Manalapan Township, NJ 07726 | 2020-07-16 |
| 1376161174 | Smartkid Success | Specialist/Technologist | 176 Us 9 North, Suite 202 Northpoint Building, Englishtown, NJ 07726 | 2020-07-08 |
| 1336761600 | Jenna J Baratta | Occupational Therapist | 1 Colleen Ct, Manalapan, NJ 07726 | 2020-05-10 |
| 1588206379 | Molly Marcus | Social Worker | 300 Corporate Ctr Dr Ste 100, Manalapan, NJ 07726 | 2019-10-13 |
| 1003376377 | Carleton I Ryder | Counselor | 76 Lone Star Lane, Manalapan, NJ 07726 | 2019-03-22 |
| 1952873713 | Trinity Rehab Somerset Pa | Physical Therapist | 335-339 Route 9 South, Units C18 C19, Manalapan, NJ 07726 | 2018-12-18 |
| 1689151334 | Impact Physical Therapy, LLC | Physical Therapist | 22 Farm Tree Road, Manalapan, NJ 07726 | 2018-07-25 |
| Find all providers in zip 07726 | ||||
| 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 |
|---|---|---|---|---|
| 1174825343 | Professional Diagnostic Specialists | Pain Medicine | 345 Us Highway 9, Suite 8, Manalapan, NJ 07726-3239 | 2010-11-22 |
| 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 | ||||
Please comment or provide details below to improve the information on AVICENNA MEDICAL ARTS, PLLC.
| 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.