NPIMap

Organization Active NPI

Advanced Ortho & Pain Center Inc

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1174260731
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED ORTHO & PAIN CENTER INC
Practice address
550 Newark Ave Ste 304
Jersey City, NJ 07306-1356
Phone
(201) 624-2111
Fax
(201) 795-0148
NPI assigned
May 16, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Merwin Francis Richard, MD, FACCNPI 1043233513
Title
Owner
Phone
(914) 310-3101

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Cardiovascular Disease Physician 207RC0000X NU
Pain Medicine Physician 208VP0000X NU
Physical Therapist 225100000X NU
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

550 Newark Ave Ste 304
Jersey City, NJ 07306-1356

Mailing address

550 Newark Ave Ste 304
Jersey City, NJ 07306-1356
Phone (201) 624-2111

Other identifiers 1

IdentifierTypeStateIssuer
25MA07291400OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220701001092 NJ Part B Supplier - Clinic/Group Practice 7315327723 Receives reassigned benefits from 10 practitioners
Practice locations: Jersey City, NJ; North Bergen, NJ
O20230531000932 NJ DME Supplier - Multi-Specialty - Physician 7315327723 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

550 Newark Ave
Ste 304
Jersey City, NJ 07306
Phone (201) 222-1400

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1174260731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061356",
            "telephone_number": "201-624-2111",
            "fax_number": "201-795-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061356",
            "telephone_number": "201-624-2111",
            "fax_number": "201-795-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHO & PAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "MERWIN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-310-3101",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA07291400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.