Advanced Spine And Pain Center LLC
Clinic/Center, Pain in Newark, New Jersey
1003279506- Practice location
- 1060 Broad Street, Newark, NJ 07102
- Phone
- 615-472-4692
- Fax
- —
- Last updated
- April 1, 2016
Advanced Spine And Pain Center LLC is a healthcare organization based in Newark, NJ. Advanced Spine And Pain Center LLC practices in Newark, NJ. The NPI Number for Advanced Spine And Pain Center LLC is 1003279506 and holds a License No. 25MA08823500 (NJ). The current practice location address for Advanced Spine And Pain Center LLC is 1060 Broad Street, Newark, NJ 07102 and can be reached out via phone at 615-472-4692.
Provider Profile Details
- NPI Number
- 1003279506
- Provider Name
- Advanced Spine And Pain Center LLC
- Provider Entity Type
- Organization
- Address
- 1060 Broad Street, Newark, NJ 07102
- Phone Number
- 615-472-4692
- Primary Taxonomy
- Clinic/Center, Pain · 261QP3300X
- Organization Subpart
- No
- Authorized Official
- Sukdeb Datta, MD · Manager · 615-479-4692
- Provider Enumeration Date
- April 1, 2016
- Last Update Date
- April 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1060 Broad Street
Newark, NJ 07102 - City
- Newark
- State
- New Jersey
- Zip
- 07102
- Phone Number
- 615-472-4692
Provider Business Mailing Address Details
- Address
- 1 Treetop CT
Berkeley Heights, NJ 07922 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922
License Information
- License Number
- 25MA08823500
- License State
- NJ
- Taxonomy
- Clinic/Center, Pain · 261QP3300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Spine And Pain Center LLC?
The NPI number of Advanced Spine And Pain Center LLC is 1003279506. It was assigned on April 1, 2016 and is currently active in the NPPES registry.
What is the specialty of Advanced Spine And Pain Center LLC?
Advanced Spine And Pain Center LLC is registered under the primary taxonomy Clinic/Center, Pain (code 261QP3300X), licensed in NJ under license number 25MA08823500.
Where does Advanced Spine And Pain Center LLC practice?
The practice location is 1060 Broad Street, Newark, NJ 07102. The office can be reached at 615-472-4692 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003279506 directly on the NPPES registry website.