Active NPI
Pain and Spine Specialists, LLC
- Pain Medicine Physician
- Millburn, NJ
National Provider Identifier
1174934152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PAIN AND SPINE SPECIALISTS, LLC
- Practice address
- 187 Millburn Ave
Suite 101
Millburn, NJ 07041-1847 - Phone
- (973) 943-5728
- NPI assigned
- May 13, 2014
- 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. Idrees Ahmad, MD
- Title
- MD/Owner
- Phone
- (973) 467-1466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
187 Millburn Ave
Suite 101
Millburn, NJ 07041-1847
Mailing address
187 Millburn Ave
Suite 101
Millburn, NJ 07041-1847
Phone (973) 943-5728
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399939200000",
"number": "1174934152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 MILLBURN AVE",
"address_2": "SUITE 101",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411847",
"telephone_number": "973-943-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 MILLBURN AVE",
"address_2": "SUITE 101",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411847",
"telephone_number": "973-943-5728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND SPINE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "IDREES",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "973-467-1466",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.