Active NPI
Synergy Pain and Spine LLC
- Interventional Pain Medicine Physician
- Tempe, AZ
National Provider Identifier
1144032905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SYNERGY PAIN AND SPINE LLC
- Practice address
- 1001 E Warner Rd Ste 103
Tempe, AZ 85284-3224 - Phone
- (480) 570-1536
- NPI assigned
- Jan 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mostafa Monzer Maita, DO
- Title
- Physician/Owner
- Phone
- (602) 853-4004
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1001 E Warner Rd Ste 103
Tempe, AZ 85284-3224
Mailing address
5407 S 18TH PL
Phoenix, AZ 85040-3363
Phone (480) 570-1536
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Tempe, AZ
- NPI 1992238414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737331200000",
"number": "1144032905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 S 18TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850403363",
"telephone_number": "480-570-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E WARNER RD STE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843224",
"telephone_number": "480-570-1536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY PAIN AND SPINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "MAITA",
"authorized_official_first_name": "MOSTAFA",
"authorized_official_middle_name": "MONZER",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "602-853-4004",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.