Organization Active NPI

North American Spine & Pain Consultants LLC Naspac

Doing business as Naspac1 LLC

  • Interventional Pain Medicine Physician
  • Newark, DE
National Provider Identifier
1093164410
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08666500 Issued in NJ
Legal business name
NORTH AMERICAN SPINE & PAIN CONSULTANTS LLC NASPAC
Doing business as
Naspac1 LLC
Practice address
2600 Glasgow Ave Ste 126
Newark, DE 19702-4777
Phone
(302) 439-3063
NPI assigned
Jun 7, 2016
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Abhijeet Rastogi, MDNPI 1114089471
Title
Owner
Phone
(609) 845-3988

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA08666500 NJ Primary

Addresses

Primary practice location

2600 Glasgow Ave Ste 126
Newark, DE 19702-4777

Mailing address

2600 Glasgow Ave Ste 126
Newark, DE 19702-4777
Phone (302) 439-3063

Other names 1

  • Naspac1 LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123000665 DE Part B Supplier - Clinic/Group Practice 1658630538 Receives reassigned benefits from 8 practitioners
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations

1600 Pennsylvania Ave
Wilmington, DE 19806
Phone (302) 439-3063

Practitioners & affiliated clinicians

Practitioners 9

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": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1093164410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 126",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024777",
            "telephone_number": "302-439-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 126",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024777",
            "telephone_number": "302-439-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AMERICAN SPINE & PAIN CONSULTANTS LLC NASPAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "ABHIJEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-845-3988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08666500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naspac1 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.