Active NPI
Professional Diagnostic Specialists,
- Interventional Pain Medicine Physician
- Manalapan, NJ
National Provider Identifier
1174825343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PROFESSIONAL DIAGNOSTIC SPECIALISTS,
- Practice address
- 345 US Highway 9
Suite 8
Manalapan, NJ 07726-3239 - Phone
- (732) 845-2200
- Fax
- (732) 837-4514
- NPI assigned
- Nov 22, 2010
- 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
- Dr. Igor Priven, M.D.
- Title
- Medical Director
- Phone
- (718) 896-6443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
345 US Highway 9
Suite 8
Manalapan, NJ 07726-3239
Mailing address
4 Winterberry CT
Marlboro, NJ 07746
Phone (718) 986-6443
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1174825343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WINTERBERRY CT",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "07746",
"telephone_number": "718-986-6443",
"fax_number": "732-837-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 US HIGHWAY 9",
"address_2": "SUITE 8",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263239",
"telephone_number": "732-845-2200",
"fax_number": "732-837-4514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL DIAGNOSTIC SPECIALISTS,",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-22",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "PRIVEN",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-896-6443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
- Irina Pritsker, BS.OTR/L
- Igor Priven, M.D.
- Pro-Thotics Technology, Inc
- Proactive Health Infusions LLC
- Professional Counseling & Development Center, LLC
- Professional Foot and Ankle Care PC
- Professional Sports & Orthopaedic Rehabilitation Associates, LLC
- Progressive Trends LLC
- Joy Przywara, LMFT
- Psychological Concepts, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.