Organization Active NPI

University Pain Associates LLC

  • Pain Medicine Physician
  • Toms River, NJ
National Provider Identifier
1194826800
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
UNIVERSITY PAIN ASSOCIATES LLC
Practice address
462 Lakehurst Rd Ste a
Toms River, NJ 08755-6345
Phone
(732) 244-9020
Fax
(732) 244-2902
NPI assigned
Sep 26, 2006
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Yin Tat Yu, M.D.NPI 1750482501
Title
Owner
Phone
(732) 244-9020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

462 Lakehurst Rd Ste a
Toms River, NJ 08755-6345

Mailing address

462 Lakehurst Rd Ste a
Toms River, NJ 08755-6345
Phone (732) 244-9020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000057 NJ Part B Supplier - Clinic/Group Practice 9638170657 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2005364University Pain Associates LLC462 Lakehurst Road, Ste a, Toms River, NJ 08755Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

462 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 341-5403

Practitioners & affiliated clinicians

Practitioners 6

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1194826800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 LAKEHURST RD STE A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556345",
            "telephone_number": "732-244-9020",
            "fax_number": "732-244-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 LAKEHURST RD STE A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556345",
            "telephone_number": "732-244-9020",
            "fax_number": "732-244-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PAIN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "YIN",
        "authorized_official_middle_name": "TAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-244-9020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.