Active NPIOrganization

Avicenna Medical Arts, PLLC

Pain Medicine, Interventional Pain Medicine in Manalapan, New Jersey

NPI Number1639408461
Practice location
660 Tennent RD, Suite 104, Manalapan, NJ 07726-3163
Fax
732-831-6171
Last updated
March 3, 2014

Avicenna Medical Arts, PLLC is a healthcare organization based in Manalapan, NJ. Avicenna Medical Arts, PLLC practices in Manalapan, NJ. The NPI Number for Avicenna Medical Arts, PLLC is 1639408461 and holds a License No. 25MA08792700 (NJ). The current practice location address for Avicenna Medical Arts, PLLC is 660 Tennent RD, Suite 104, Manalapan, NJ 07726-3163 and can be reached out via phone at 646-522-3664 and via fax at 732-831-6171.

Provider Profile Details

NPI Number
1639408461
Provider Name
Avicenna Medical Arts, PLLC
Provider Entity Type
Organization
Address
660 Tennent RD, Suite 104, Manalapan, NJ 07726-3163
Phone Number
646-522-3664
Fax Number
732-831-6171
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Organization Subpart
No
Authorized Official
Dr. Alexander Veder, MD · Owner · 646-522-3664
Provider Enumeration Date
December 7, 2009
Last Update Date
March 3, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
660 Tennent RD
Suite 104
Manalapan, NJ 07726-3163
Zip
07726-3163
Phone Number
646-522-3664
Fax Number
732-831-6171
Manalapan, NJ 07726Get directions →

Provider Business Mailing Address Details

Address
Po Box 302
Manalapan, NJ 07726-0302
City
Manalapan
State
NJ
Zip
07726-0302
Phone Number
646-522-3664
Fax Number
646-522-3664

License Information

License Number (1)
25MA08792700
License State (1)
NJ
Taxonomy (1)
Independent Medical Examiner · 202C00000X
License Number (2)
25MA08792700
License State (2)
NJ
Taxonomy (2)
Anesthesiology · 207L00000X
License Number (3)
25MA08792700
License State (3)
NJ
Taxonomy (3)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pain Medicine, Interventional Pain Medicine providers near Manalapan, NJ

View all Pain Medicine, Interventional Pain Medicine providers in Manalapan →

Frequently Asked Questions

What is the NPI number of Avicenna Medical Arts, PLLC?

The NPI number of Avicenna Medical Arts, PLLC is 1639408461. It was assigned on December 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Avicenna Medical Arts, PLLC?

Avicenna Medical Arts, PLLC is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in NJ under license number 25MA08792700.

Where does Avicenna Medical Arts, PLLC practice?

The practice location is 660 Tennent RD, Suite 104, Manalapan, NJ 07726-3163. The office can be reached at 646-522-3664 (phone) or 732-831-6171 (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 1639408461 directly on the NPPES registry website.

Browse related providers