Integrated Paincare Center LLP

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA06497300 Issued in NJ

Legal business name

INTEGRATED PAINCARE CENTER LLP

Practice address

252 Columbia Tpke
Florham Park, NJ 07932-1248

Phone

(973) 822-3338

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Tony T Jiang, M.D.NPI 1205169885

Title

Managing Partner

Phone

(973) 822-3338

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PainCare & Rehab Center LLP Former legal business name

Locations

Practitioners 1

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

• Tony Tan Jiang, M.D.

  • Acupuncturist
  • Florham Park, NJ
  • NPI 1205169885
  NPD (past) Authorized official

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1104153907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321248",
            "telephone_number": "973-822-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321248",
            "telephone_number": "973-822-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAINCARE CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-822-3338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MA06699400",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA06497300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205169885",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992718530",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PainCare & Rehab Center LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shu-Chin Hwang, L.AC.
• I C Health Beyond, LLC
• Omar Ibrahim, MD
• Sorina Paula Ilie, DDS
• John Tyler Indrikovic, PT, DPT
• Ira Hauptman DPM PC
• Ethan Isidro, MD
• Maksim Ivanouski
• Hariharan Venkatachalam Iyer, M.D.
• J. G. Moreno, MD, LLC

• All providers in Florham Park, NJ
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.