Active NPI
Direct Pain Care LLC
- Pain Medicine (Anesthesiology) Physician
- Edison, NJ
National Provider Identifier
1225604374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Ithaca, NY
- NPI 1922493097
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.