Organization Active NPI

Direct Pain Care LLC

  • Pain Medicine (Anesthesiology) Physician
  • Edison, NJ
National Provider Identifier
1225604374
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DIRECT PAIN CARE LLC
Practice address
30 Morning Glory LN
Edison, NJ 08820-4428
Phone
(848) 565-4342
NPI assigned
May 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Authorized official

Name
Jill Shah
Title
Office Manager
Phone
(732) 318-8576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

30 Morning Glory LN
Edison, NJ 08820-4428

Mailing address

30 Morning Glory LN
Edison, NJ 08820-4428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1225604374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MORNING GLORY LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MORNING GLORY LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204428",
            "telephone_number": "848-565-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-318-8576"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 30, 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.