Interventional Pain and Spine Institute Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL PAIN AND SPINE INSTITUTE INC

Practice address

1907 Oak Tree Rd Ste 102
Edison, NJ 08820-2070

Phone

(732) 884-7246

Fax

(800) 754-7408

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Prajakta Avhad, MD

Title

Owner

Phone

(732) 476-8971

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Wael Elkholy, MD, LAC

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, NJ
  • NPI 1437240298
  NPD (past)
• Douglas Edward Pitchford, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Iselin, NJ
  • NPI 1255432068
  NPD (past)
• Ashraf Sakr, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, NJ
  • NPI 1679655385
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1043764269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONTICELLO CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514162",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD STE 102",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-884-7246",
            "fax_number": "800-754-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Whitehorse Mercerville Rd",
            "address_2": "Building B Suite 510",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193800",
            "country_code": "US",
            "telephone_number": "732-884-7246",
            "fax_number": "800-754-7408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1346 How Ln Ste 107",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021728",
            "country_code": "US",
            "telephone_number": "732-884-7246",
            "fax_number": "800-754-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN AND SPINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "AVHAD",
        "authorized_official_first_name": "PRAJAKTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-476-8971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Management and Ortho-Spine Center LLC
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• Nichole C Inya-Agha, LCSW
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• Isaacs Pharmacy

• Interventional Pain Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.