Comprehensive Spine and Pain Management

Organization Active NPI Pain Clinic/Center · Newark, DE

NPI 1043652902 · NPPES record last updated Jul 20, 2013

Key facts

NPI
1043652902
Entity type
Organization (NPI type 2)
Primary specialty
Pain Clinic/Center 261QP3300X
License
C10006663 (DE)
Legal business name
COMPREHENSIVE SPINE AND PAIN MANAGEMENT
Practice address
550 Stanton Christiana Rd Ste 303
Newark, DE 19713-2125
Phone
(302) 463-4704
NPI assigned
Jul 20, 2013
Organization subpart
No

Authorized official

Name
Dr. Asit Pravin Patel, M.D. NPI 1083644181
Title
Ceo
Phone
(302) 463-4704

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X C10006663 DE Yes

Addresses

Primary practice location

550 Stanton Christiana Rd Ste 303
Newark, DE 19713-2125

Mailing address

PO Box 5805
Wilmington, DE 19808-0805
Phone (302) 463-4704

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2013.

{
    "created_epoch": "1374278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374278400000",
    "number": "1043652902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5805",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198080805",
            "telephone_number": "302-463-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 STANTON CHRISTIANA RD STE 303",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132125",
            "telephone_number": "302-463-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SPINE AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-20",
        "last_updated": "2013-07-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASIT",
        "authorized_official_middle_name": "PRAVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-463-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "DE",
            "license": "C10006663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

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