Spine and Pain Centers, P. a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPINE AND PAIN CENTERS, P. A.

Practice address

1967 State Route 34 Ste 102
Wall Township, NJ 07719-9738

Phone

(732) 345-1180

Fax

(732) 530-4476

NPI assigned

May 2, 2006

Last updated

Apr 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Donald

Title

Office Administrator

Phone

(732) 345-1180

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1215995030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 STATE ROUTE 34 STE 102",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199738",
            "telephone_number": "732-345-1180",
            "fax_number": "732-530-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 STATE ROUTE 34 STE 102",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199738",
            "telephone_number": "732-345-1180",
            "fax_number": "732-530-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PAIN CENTERS, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-345-1180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.