Active NPIOrganization

Garden State Spine And Pain Centers

Clinic/Center, Pain in Clifton, New Jersey

NPI Number1861887630
Practice location
1010 Clifton Ave, Suite 203, Clifton, NJ 07013-3519
Fax
—
Last updated
March 30, 2015

Garden State Spine And Pain Centers is a healthcare organization based in Clifton, NJ. Garden State Spine And Pain Centers practices in Clifton, NJ. The NPI Number for Garden State Spine And Pain Centers is 1861887630 and holds a License No. 25MA08823500 (NJ). The current practice location address for Garden State Spine And Pain Centers is 1010 Clifton Ave, Suite 203, Clifton, NJ 07013-3519 and can be reached out via phone at 862-335-9696.

Provider Profile Details

NPI Number
1861887630
Provider Name
Garden State Spine And Pain Centers
Provider Entity Type
Organization
Address
1010 Clifton Ave, Suite 203, Clifton, NJ 07013-3519
Phone Number
862-335-9696
Primary Taxonomy
Clinic/Center, Pain · 261QP3300X
Organization Subpart
No
Authorized Official
Sukdeb Datta, MD · President · 615-479-4692
Provider Enumeration Date
March 30, 2015
Last Update Date
March 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1010 Clifton Ave
Suite 203
Clifton, NJ 07013-3519
Zip
07013-3519
Phone Number
862-335-9696
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1 Treetop CT
Berkeley Heights, NJ 07922-2531
City
Berkeley Heights
State
NJ
Zip
07922-2531

License Information

License Number
25MA08823500
License State
NJ
Taxonomy
Clinic/Center, Pain · 261QP3300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Garden State Spine And Pain Centers?

The NPI number of Garden State Spine And Pain Centers is 1861887630. It was assigned on March 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Garden State Spine And Pain Centers?

Garden State Spine And Pain Centers is registered under the primary taxonomy Clinic/Center, Pain (code 261QP3300X), licensed in NJ under license number 25MA08823500.

Where does Garden State Spine And Pain Centers practice?

The practice location is 1010 Clifton Ave, Suite 203, Clifton, NJ 07013-3519. The office can be reached at 862-335-9696 (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 1861887630 directly on the NPPES registry website.

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