ADVANCED SPINE AND PAIN LLC (NPI# 1730359084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730359084 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN LLC |
| Practice Address |
2 8th St Hammonton NJ 08037-3347 |
| Mailing Address |
Po Box 7776 Lancaster PA 17604-7776 |
| Practice Telephone | 8889852727 |
| Practice Fax Number | 8567790211 |
| Mailing Telephone | 8889852727 |
| Mailing Fax Number | 8567790211 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | 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 | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0154661 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679923 | Advanced Spine and Pain LLC | Anesthesiology | 4566 E Inverness Ave Ste 205, Mesa, AZ 85206-4634 | 2020-11-03 |
| 1710508304 | Advanced Spine and Pain LLC | Pain Medicine | 2186 Route 27 Ste 2d, North Brunswick, NJ 08902-1137 | 2020-05-05 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1356950653 | Advanced Spine and Pain LLC | Anesthesiology | 2525 W Greenway Rd Ste 125, Phoenix, AZ 85023-4226 | 2020-07-23 |
| Street Address |
2 8TH ST |
| City | HAMMONTON |
| State | NJ |
| Zip Code | 08037-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609068659 | Young J. Lee | Anesthesiology | 2 8th St, Hammonton, NJ 08037-3347 | 2007-08-14 |
| 1104352335 | Advanced Spine and Pain, LLC | Non-Pharmacy Dispensing Site | 2 8th St, Hammonton, NJ 08037-3347 | 2017-05-09 |
| 1780063537 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 2 8th St, Hammonton, NJ 08037-3347 | 2015-05-27 |
| 1720414071 | Erin E Intessimoni | Nurse Practitioner | 2 8th St, Hammonton, NJ 08037-3347 | 2013-09-18 |
| 1427330141 | Maryann E. Masci | Nurse Practitioner | 2 8th St, Hammonton, NJ 08037-3347 | 2011-09-20 |
| 1225348873 | Ijeoma Menkiti | Nurse Practitioner | 2 8th St, Hammonton, NJ 08037-3347 | 2010-10-18 |
| 1396054722 | Joseph Picciotti | Podiatrist | 2 8th St, Hammonton, NJ 08037-3347 | 2010-10-04 |
| 1306158738 | Kyriaki Sandy Revenidis | Registered Nurse | 2 8th St, Hammonton, NJ 08037-3347 | 2010-07-14 |
| 1023267465 | Chioma A Ezeadichie | Physical Medicine & Rehabilitation | 2 8th St, Hammonton, NJ 08037-3347 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312532 | Hope On Wheels LLC | Transportation Broker | 882 12th Street, 882 12th Street D5, Hammonton, NJ 08037 | 2019-05-23 |
| 1679050389 | Lori's Wellness Loft | Massage Therapist | 240 S White House Pike, Suite B4, Hammonton, NJ 08037 | 2018-07-25 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| 1376070003 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 11th Street, Folsom, NJ 08037 | 2017-05-12 |
| 1881138154 | Kennedy Medical Group Practice P.C. | Family Medicine | 630 B South White Horse Pike, Hammonton, NJ 08037 | 2016-12-06 |
| 1467908350 | John Lloyd Jr. | Counselor | 63 Laurel Lane, Hammonton, NJ 08037 | 2016-08-30 |
| 1407218019 | Karon Ross | Counselor | 44 Fern Lane, Hammonton, NJ 08037 | 2016-03-23 |
| 1396106548 | Helen Durham | Counselor | 61 Laurel Lane, Hammonton, NJ 08037 | 2016-03-16 |
| 1972994481 | Person First New Jersey LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Heggan Ln, Heggan Ln, Hammonton, NJ 08037 | 2015-02-05 |
| 1659702298 | Alienta Limited Liability Company | Community/Behavioral Health | 425 N Third Street, Hammonton, NJ 08037 | 2013-12-09 |
| Find all providers in zip 08037 | ||||
| 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 | ||||
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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.