Pain Surgery Center Limited Liability Company

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAIN SURGERY CENTER LIMITED LIABILITY COMPANY

Practice address

101 Shattuck Way Ste 7
Newington, NH 03801-7876

Phone

(603) 778-9921

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Anh Ngo, MDNPI 1609076066

Title

Medical Director

Phone

(949) 285-8983

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Listed as

Pain Surgery Center Limited Liability CompanyCCN 30C0001051

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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

• Anh L. Ngo, M.D.

  • Interventional Pain Medicine Physician
  • Newington, NH
  • NPI 1609076066
  Medicare reassignment NPD Authorized official
• Jack Chan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Newington, NH
  • NPI 1376170522
  Medicare reassignment NPD

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1043955198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHATTUCK WAY STE 7",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHATTUCK WAY STE 7",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017876",
            "telephone_number": "603-778-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Shattuck Way Ste 6",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017876",
            "country_code": "US",
            "telephone_number": "603-778-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN SURGERY CENTER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-285-8983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newington School District
• Newington Spine and Joint, LLC
• Anh L. Ngo, M.D.
• NH Dental Design, PC
• Northeast Surgical Care of Newington, LLC
• Travis Palmer, FNP-C
• Andrea Martin Parsons, M.ED., LCMHC
• Laura M. Peterson, LICSW
• Patricia Ann Pettis, APRN
• Brianne Pileggi, MS BCBA

• Ambulatory Surgical Clinic/Center in Newington, NH
• Providers in Newington, NH by specialty
• Ambulatory Surgical Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.