Organization Active NPI

Healthcare Pain & Rehabilitation

  • Specialist
  • Old Bridge, NJ
National Provider Identifier
1255466710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEALTHCARE PAIN & REHABILITATION
Practice address
3 Hospital PLZ
Suite 309
Old Bridge, NJ 08857-3093
Phone
(732) 607-9000
Fax
(732) 607-7706
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jacqueline Del Valle, M.D.
Title
Pain Management
Phone
(732) 607-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

3 Hospital PLZ
Suite 309
Old Bridge, NJ 08857-3093

Mailing address

3 Hospital PLZ
Suite 309
Old Bridge, NJ 08857-3093
Phone (732) 607-9000

National Provider Directory

National Provider Directory

Locations

1001 W Main St
Ste D
Freehold, NJ 07728
Phone (732) 577-8338

3 Hospital Plz
Ste 309
Old Bridge, NJ 08857
Phone (732) 416-8800

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255466710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "address_2": "SUITE 309",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573093",
            "telephone_number": "732-607-9000",
            "fax_number": "732-607-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "address_2": "SUITE 309",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573093",
            "telephone_number": "732-607-9000",
            "fax_number": "732-607-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PAIN & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PAIN MANAGEMENT",
        "authorized_official_telephone_number": "732-607-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.