Innovative Pain Care Center PC
Physical Medicine & Rehabilitation in Avenel, New Jersey
1114007242- Practice location
- 415 Avenel St, Avenel, NJ 07001-1147
- Phone
- 732-636-7888
- Fax
- 732-636-7887
- Last updated
- August 22, 2020
Innovative Pain Care Center PC is a healthcare organization based in Avenel, NJ. Innovative Pain Care Center PC practices in Avenel, NJ. The NPI Number for Innovative Pain Care Center PC is 1114007242 and holds a License No. 25MAO7807000 (NJ). The current practice location address for Innovative Pain Care Center PC is 415 Avenel St, Avenel, NJ 07001-1147 and can be reached out via phone at 732-636-7888 and via fax at 732-636-7887.
Provider Profile Details
- NPI Number
- 1114007242
- Provider Name
- Innovative Pain Care Center PC
- Provider Entity Type
- Organization
- Address
- 415 Avenel St, Avenel, NJ 07001-1147
- Phone Number
- 732-636-7888
- Fax Number
- 732-636-7887
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Organization Subpart
- No
- Authorized Official
- Dr. Asma Siddiqui, MD · Owner · 732-636-7888
- Provider Enumeration Date
- October 16, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Avenel St
Avenel, NJ 07001-1147 - City
- Avenel
- State
- New Jersey
- Zip
- 07001-1147
- Phone Number
- 732-636-7888
- Fax Number
- 732-636-7887
Provider Business Mailing Address Details
- Address
- 415 Avenel St
Avenel, NJ 07001-1147 - City
- Avenel
- State
- NJ
- Zip
- 07001-1147
- Phone Number
- 732-636-7888
- Fax Number
- 732-636-7887
License Information
- License Number
- 25MAO7807000
- License State
- NJ
- Taxonomy
- Physical Medicine & Rehabilitation · 208100000X · 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 Innovative Pain Care Center PC?
The NPI number of Innovative Pain Care Center PC is 1114007242. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Innovative Pain Care Center PC?
Innovative Pain Care Center PC is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 25MAO7807000.
Where does Innovative Pain Care Center PC practice?
The practice location is 415 Avenel St, Avenel, NJ 07001-1147. The office can be reached at 732-636-7888 (phone) or 732-636-7887 (fax).
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 1114007242 directly on the NPPES registry website.