NPIMap

Organization Active NPI

New Jersey Pain & Spine Clinic LLC

  • Specialist
  • North Brunswick, NJ
National Provider Identifier
1154873529
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW JERSEY PAIN & SPINE CLINIC LLC
Practice address
2090 Route 27
Suite103
North Brunswick, NJ 08902-1141
Phone
(732) 565-3777
NPI assigned
Nov 1, 2016
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Ambreen Ahsan, MDNPI 1811022940
Title
Ceo
Phone
(732) 565-3777

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

2090 Route 27
Suite103
North Brunswick, NJ 08902-1141

Mailing address

2090 Route 27
Suite103
North Brunswick, NJ 08902-1141
Phone (732) 565-3777

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1154873529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 ROUTE 27",
            "address_2": "SUITE103",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021141",
            "telephone_number": "732-565-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ROUTE 27",
            "address_2": "SUITE103",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021141",
            "telephone_number": "732-565-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PAIN & SPINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "AHSAN",
        "authorized_official_first_name": "AMBREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-565-3777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.