Faheem Abbasi LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MA08038100 Issued in NJ

Legal business name

FAHEEM ABBASI LLC

Doing business as

New Jersey Pain Spine & Sports Associates

Practice address

2090 State Route 27
Suite 103
North Brunswick, NJ 08902-1141

Phone

(732) 565-3777

Fax

(732) 746-0223

NPI assigned

Jan 23, 2008

Last updated

Sep 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Faheem A Abbasi, M.DNPI 1710047295

Title

Owner

Phone

(732) 565-3777

Specialties & licenses 1

Addresses

Other names 1

• NEW JERSEY PAIN SPINE & SPORTS ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Faheem A Abbasi, M.D

  • Physical Medicine & Rehabilitation Physician
  • North Brunswick, NJ
  • NPI 1710047295
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1285811158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27",
            "address_2": "SUITE 103",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021141",
            "telephone_number": "732-565-3777",
            "fax_number": "732-746-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27",
            "address_2": "SUITE 103",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021141",
            "telephone_number": "732-565-3777",
            "fax_number": "732-746-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHEEM ABBASI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "FAHEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-565-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA08038100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW JERSEY PAIN SPINE & SPORTS ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Clinic/Center in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.