INNOVATIVE SPINE AND PAIN CENTER, P.C. (NPI# 1801340385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801340385 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SPINE AND PAIN CENTER, P.C. |
| Practice Address |
90 Bergen St Suite 3400 Newark NJ 07103-2425 |
| Mailing Address |
4 Marcin Way Flanders NJ 07836-9671 |
| Practice Telephone | 9739722085 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | DR. VANNY LE (VICE PRESIDENT) |
| Authorized Official Telephone | 6099156865 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA08859900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
90 BERGEN ST SUITE 3400 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623074 | Karen Virginia Valdez-gonzalez | Genetic Counselor, MS | 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 | 2005-10-14 |
| 1134758816 | Elizabeth Elaine Ginalis | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2020-04-05 |
| 1003462854 | University Surgical Associates (om) | Transplant Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-16 |
| 1528614021 | Special LLC | Plastic Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265993216 | Sean Michael Munier | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-30 |
| 1629539861 | Ali Tayebi Meybodi | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-29 |
| 1497214282 | Brandon Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1649776790 | Purvee D Patel | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2018-04-05 |
| 1740716703 | Elena Solli | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 | 2017-05-11 |
| 1881120954 | Ivo Bach | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 | 2017-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| 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 |
| 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 |
| 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 |
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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.