Innovative Pain Care Center PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INNOVATIVE PAIN CARE CENTER PC

Practice address

415 Avenel St
Avenel, NJ 07001-1147

Phone

(732) 636-7888

Fax

(732) 636-7887

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Asma Siddiqui, MD

Title

Owner

Phone

(732) 636-7888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114007242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-636-7888",
            "fax_number": "732-636-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-636-7888",
            "fax_number": "732-636-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PAIN CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-636-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Hodzic
• Stuart Michael Homer, MD
• Lyndsay Jean Taylor Horn
• Keisha M Howell
• Joseph Iavarone, D.M.D
• Ghosia Iqbal
• Divya Jain
• Patricia Jenkins
• Jersey Shore Psychiatric Services LLC
• Sundeep Chahal Johal, D.D.S

• Physical Medicine & Rehabilitation Physician in Avenel, NJ
• Providers in Avenel, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.