New Jersey Arthritis and Back Pain Center, PC.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MA7800700 Issued in NJ

Legal business name

NEW JERSEY ARTHRITIS AND BACK PAIN CENTER, PC.

Practice address

315 Elmora Ave
Suite # 204
Elizabeth, NJ 07208-1383

Phone

(908) 469-2820

Fax

(908) 469-2821

NPI assigned

Jan 31, 2011

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raed Hattab, M.D.

Title

Owner

Phone

(917) 224-1398

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1083910673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ELMORA AVE",
            "address_2": "SUITE # 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081383",
            "telephone_number": "908-469-2820",
            "fax_number": "908-469-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ELMORA AVE",
            "address_2": "SUITE # 204",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081383",
            "telephone_number": "908-469-2820",
            "fax_number": "908-469-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY ARTHRITIS AND BACK PAIN CENTER, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "HATTAB",
        "authorized_official_first_name": "RAED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-224-1398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA7800700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.