Organization Active NPI

Pain Management Jersey LLC

  • Point of Service
  • East Windsor, NJ
National Provider Identifier
1275950859
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
25MA08105700 Issued in NJ
Legal business name
PAIN MANAGEMENT JERSEY LLC
Practice address
300A Princeton Hightstown Rd
East Windsor, NJ 08520-1421
Phone
(609) 371-9100
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Baher Yanni
Title
Owner
Phone
(609) 371-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 25MA08105700 NJ Primary

Addresses

Primary practice location

300A Princeton Hightstown Rd
East Windsor, NJ 08520-1421

Mailing address

300A Princeton Hightstown Rd
East Windsor, NJ 08520-1421

National Provider Directory

National Provider Directory

Locations

300A Princeton Hightstown Rd
East Windsor, NJ 08520
Phone (609) 371-6222

777 Route 70 E
Marlton, NJ 08053
Phone (609) 337-6496

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": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1275950859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421",
            "telephone_number": "609-371-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "YANNI",
        "authorized_official_first_name": "BAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-371-9100"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "25MA08105700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.