Precision Pain & Spine Institute LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PRECISION PAIN & SPINE INSTITUTE LLC

Practice address

107 Cedar Grove LN
Somerset, NJ 08873-4719

Phone

(732) 800-0042

Fax

(732) 515-4000

NPI assigned

Mar 27, 2023

Organization subpart

Yes

Parent organization

PRECISION PAIN & SPINE INSTITUTE LLCAs reported in NPPES

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

Authorized official

Name

Wael Elkholy

Title

MD

Phone

(732) 800-0042

Specialties & licenses 1

Addresses

Other names 1

• Precision Imaging Technology Doing business as

Tax ID family

Precision Pain Spine Institute LLC2 organizations share this tax ID, including this one

Part of

Precision Pain Spine Institute LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precision Pain & Spine Institute LLC

  • Interventional Pain Medicine Physician
  • Hamilton, NJ
  • NPI 1952856569
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Precision Pain & Spine Institute LLC

  • Interventional Pain Medicine Physician
  • Hamilton, NJ
  • NPI 1952856569
  NPPES parent name

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1154025153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GRAYSON DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024932",
            "telephone_number": "732-800-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-800-0042",
            "fax_number": "732-515-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070558400",
            "country_code": "US",
            "telephone_number": "732-800-0042",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION PAIN & SPINE INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION PAIN & SPINE INSTITUTE LLC",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-04-17",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "ELKHOLY",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-800-0042"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Imaging Technology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Pollatos, DMD
• Marcus Peter Porcelli, MD
• Sathesh Porur Evalappan, M.D
• Monika Potocki, MD
• Mary Katherine Powderly, MD, FACOG, AAAAM
• Premier Family Physicians MDPC
• Premier Foot & Ankle Center
• Premier Medical Staffing Solutions
• Premier Medical Staffing Solutions, LLC
• Premier Medical Staffing Solutions, LLC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.