Pain Center NJ PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MA07807000 Issued in NJ

Legal business name

PAIN CENTER NJ PC

Practice address

4359 Highway 516
Matawan, NJ 07747-2158

Phone

(732) 636-7888

Fax

(732) 636-7887

NPI assigned

Feb 11, 2014

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

Other names 1

• na Other name

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1124442124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 HIGHWAY 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "077472158",
            "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": "4359 HIGHWAY 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472158",
            "telephone_number": "732-636-7888",
            "fax_number": "732-636-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-27",
        "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": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA07807000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pain Clinic/Center in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.