NPIMap

Organization Active NPI

New Jersey Pain and Neuropathy Centers LLC

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1215526033
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW JERSEY PAIN AND NEUROPATHY CENTERS LLC
Practice address
295 Pierson Ave Ste 101
Edison, NJ 08837-3118
Phone
(732) 738-1800
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Douglas ZimmelNPI 1104942879
Title
Authorized Official
Phone
(732) 738-1800

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
Family Medicine Physician 207Q00000X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

295 Pierson Ave Ste 101
Edison, NJ 08837-3118

Mailing address

295 Pierson Ave Ste 101
Edison, NJ 08837-3118
Phone (732) 738-1800

National Provider Directory

National Provider Directory

Locations

295 Pierson Ave
Ste 101
Edison, NJ 08837
Phone (732) 738-1800

Practitioners & affiliated clinicians

Practitioners 5

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": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1215526033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PIERSON AVE STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373118",
            "telephone_number": "732-738-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PIERSON AVE STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373118",
            "telephone_number": "732-738-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PAIN AND NEUROPATHY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-738-1800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.