Edison Spine & Pain Center LLC
Clinic/Center, Pain in Edison, New Jersey
1780174136- Practice location
- 940 Amboy Ave Ste 103, Edison, NJ 08837-2869
- Phone
- 347-380-9138
- Fax
- —
- Last updated
- May 11, 2018
Edison Spine & Pain Center LLC is a healthcare organization based in Edison, NJ. Edison Spine & Pain Center LLC practices in Edison, NJ. The NPI Number for Edison Spine & Pain Center LLC is 1780174136 and holds a License No. 25MA08823500 (NJ). The current practice location address for Edison Spine & Pain Center LLC is 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 and can be reached out via phone at 347-380-9138.
Provider Profile Details
- NPI Number
- 1780174136
- Provider Name
- Edison Spine & Pain Center LLC
- Provider Entity Type
- Organization
- Address
- 940 Amboy Ave Ste 103, Edison, NJ 08837-2869
- Phone Number
- 347-380-9138
- Primary Taxonomy
- Clinic/Center, Pain · 261QP3300X
- Organization Subpart
- No
- Authorized Official
- Dr. Sukdeb Datta, MD, MBA · President · 615-479-4692
- Provider Enumeration Date
- May 11, 2018
- Last Update Date
- May 11, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 940 Amboy Ave Ste 103
Edison, NJ 08837-2869 - City
- Edison
- State
- New Jersey
- Zip
- 08837-2869
- Phone Number
- 347-380-9138
Provider Business Mailing Address Details
- Address
- 940 Amboy Ave Ste 103
Edison, NJ 08837-2869 - City
- Edison
- State
- NJ
- Zip
- 08837-2869
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. | |||
Other Clinic/Center, Pain providers near Edison, NJ
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Frequently Asked Questions
What is the NPI number of Edison Spine & Pain Center LLC?
The NPI number of Edison Spine & Pain Center LLC is 1780174136. It was assigned on May 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Edison Spine & Pain Center LLC?
Edison Spine & Pain Center LLC is registered under the primary taxonomy Clinic/Center, Pain (code 261QP3300X), licensed in NJ under license number 25MA08823500.
Where does Edison Spine & Pain Center LLC practice?
The practice location is 940 Amboy Ave Ste 103, Edison, NJ 08837-2869. The office can be reached at 347-380-9138 (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 1780174136 directly on the NPPES registry website.