NPIMap

Organization Active NPI

North Jersey Interventional Pain, P.C.

  • Interventional Pain Medicine Physician
  • Lincoln Park, NJ
National Provider Identifier
1033390471
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MT7/QC107 Issued in NJ
Legal business name
NORTH JERSEY INTERVENTIONAL PAIN, P.C.
Practice address
63 Beaverbrook Rd
204
Lincoln Park, NJ 07035-1440
Phone
(516) 739-3862
Fax
(516) 747-4783
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Adin, D.O.
Title
Owner
Phone
(516) 739-3862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X MT7/QC107 NJ Primary

Addresses

Primary practice location

63 Beaverbrook Rd
204
Lincoln Park, NJ 07035-1440

Mailing address

PO Box 1915
Fort Lee, NJ 07024-8415
Phone (516) 739-3862

National Provider Directory

National Provider Directory

Locations

63 Beaverbrook Rd
Ste 204
Lincoln Park, NJ 07035

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1033390471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1915",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070248415",
            "telephone_number": "516-739-3862",
            "fax_number": "516-747-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEAVERBROOK RD",
            "address_2": "204",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351440",
            "telephone_number": "516-739-3862",
            "fax_number": "516-747-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY INTERVENTIONAL PAIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ADIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-739-3862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "MT7/QC107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.