Advanced Spine and Pain, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ADVANCED SPINE AND PAIN, LLC

Practice address

222 New Rd
Suite 102
Linwood, NJ 08221-1299

Phone

(888) 985-2727

Fax

(856) 779-0211

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Young Lee, MD

Title

Partner

Phone

(888) 985-2727

Specialties & licenses 3

Addresses

Other names 1

• Relievus Doing business as

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1154700904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 KINGS HWY N",
            "address_2": "SUITE 200",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341907",
            "telephone_number": "856-779-7774",
            "fax_number": "856-779-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD",
            "address_2": "SUITE 102",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211299",
            "telephone_number": "888-985-2727",
            "fax_number": "856-779-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "888-985-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relievus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Frank Accurso, PHYSICIAN ASSISTANT
• Sean Alan Adair, PA-C
• Christopher John Adams Jr., PA-C
• Adult Independent Services
• Advanced Dental Concepts Professional Association
• Hilary Akman, LPC
• Amy Aldridge, RPH
• Alice Reemmer, LLC
• Thomas Altaffer, LCSW
• Altman Family Chiropractic, PA

• All providers in Linwood, NJ
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.