Organization Active NPI

Interventional Pain Management and Ortho-Spine Medical Center LLC

  • Interventional Pain Medicine Physician
  • Edison, NJ
National Provider Identifier
1285350017
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTERVENTIONAL PAIN MANAGEMENT AND ORTHO-SPINE MEDICAL CENTER LLC
Practice address
3848 Park Ave Ste 100
Edison, NJ 08820-2508
Phone
(732) 952-5533
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Adity Sharma, MDNPI 1861653826
Title
Sole Member
Phone
(732) 698-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Vascular Surgery Physician 2086S0129X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

3848 Park Ave Ste 100
Edison, NJ 08820-2508

Mailing address

3848 Park Ave Ste 101
Edison, NJ 08820-2508
Phone (732) 698-1000

National Provider Directory

National Provider Directory

Locations

3848 Park Ave
Ste 100
Edison, NJ 08820
Phone (732) 952-5533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1285350017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 PARK AVE STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202508",
            "telephone_number": "732-698-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 PARK AVE STE 100",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202508",
            "telephone_number": "732-952-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT AND ORTHO-SPINE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ADITY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-698-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional 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 Oct 13, 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.