Organization Active NPI

Pain and Spine Specialists, LLC

  • Pain Medicine Physician
  • Millburn, NJ
National Provider Identifier
1174934152
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on May 13, 2014

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.