Organization Active NPI

Center for Advanced Pain Management and Rehabilitation, LLC

  • Specialist
  • Metuchen, NJ
National Provider Identifier
1194745448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 066877 Issued in NJ
Legal business name
CENTER FOR ADVANCED PAIN MANAGEMENT AND REHABILITATION, LLC
Practice address
249 Bridge St
Building G
Metuchen, NJ 08840-2294
Phone
(732) 516-1060
Fax
(732) 516-1015
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Boqing Chen, M.D.NPI 1649291410
Title
President
Phone
(732) 516-1060

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 SINGLE SPECIALTY GROUP 174400000X MA 066877 NJ Primary

Addresses

Primary practice location

249 Bridge St
Building G
Metuchen, NJ 08840-2294

Mailing address

249 Bridge St
Building G
Metuchen, NJ 08840-2294
Phone (732) 516-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000278 NJ Part B Supplier - Clinic/Group Practice 3072774975 Receives reassigned benefits from 2 practitioners
Practice locations: Bridgewater, NJ; Hillsborough, NJ; Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

465 Union Ave
Bridgewater, NJ 08807
Phone (732) 667-7767

102 Towne Centre Dr
Hillsborough, NJ 08844
Phone (908) 359-3499

249 Bridge St
#G
Metuchen, NJ 08840

249 Bridge St
Bldg G
Metuchen, NJ 08840
Phone (732) 516-1060

41-51 Wilson Ave
Ste 1-B
Newark, NJ 07105

121 Ethel Rd W
Piscataway, NJ 08854
Phone (732) 640-0455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJDICA

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194745448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BRIDGE ST",
            "address_2": "BUILDING G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402294",
            "telephone_number": "732-516-1060",
            "fax_number": "732-516-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BRIDGE ST",
            "address_2": "BUILDING G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402294",
            "telephone_number": "732-516-1060",
            "fax_number": "732-516-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED PAIN MANAGEMENT AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "BOQING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-516-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 066877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.