NPIMap

Organization Active NPI

Gabriele Jasper MD Inc

Doing business as Center for Pain Control

  • Pain Clinic/Center
  • Brick, NJ
National Provider Identifier
1053500041
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
25MA06352100 Issued in NJ
Legal business name
GABRIELE JASPER MD INC
Doing business as
Center for Pain Control
Practice address
74 Brick Blvd
Building # 3
Brick, NJ 08723-7984
Phone
(732) 262-0700
Fax
(732) 262-0400
NPI assigned
Oct 16, 2007
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Mr. Gabriele P Jasper, M.D.
Title
Pres
Phone
(732) 262-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 25MA06352100 NJ Primary

Addresses

Primary practice location

74 Brick Blvd
Building # 3
Brick, NJ 08723-7984

Mailing address

74 Brick Blvd BLDG 3
Brick, NJ 08723-7984
Phone (732) 262-0700

Other names 1

  • Center for Pain Control Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071017000659 NJ Part B Supplier - Clinic/Group Practice 2365538618 Receives reassigned benefits from 9 practitioners
Practice locations: Brick, NJ
O20100930043436 NJ DME Supplier - Physician - General Practice 2365538618 Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1053500041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD BLDG 3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-262-0700",
            "fax_number": "732-262-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "BUILDING # 3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-262-0700",
            "fax_number": "732-262-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELE JASPER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "GABRIELE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "732-262-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA06352100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pain Control",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.