NPIMap

Organization Active NPI

New Jersey Interventional Pain Management Center PC

  • Interventional Pain Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1295163343
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NEW JERSEY INTERVENTIONAL PAIN MANAGEMENT CENTER PC
Practice address
3 Cornwall Dr
East Brunswick, NJ 08816-3311
Phone
(732) 698-1000
Fax
(732) 698-1008
NPI assigned
Oct 29, 2013
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Amit Poonia, M.D.NPI 1780904359
Title
Medical Director
Phone
(732) 952-5533

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

3 Cornwall Dr
East Brunswick, NJ 08816-3311

Mailing address

3 Cornwall Dr
East Brunswick, NJ 08816-3311
Phone (732) 698-1000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2074207New Jersey Interventional3 Cornwall Drive, East Brunswick, NJ 08816Certificate of waiverAug 1, 2027

National Provider Directory

National Provider Directory

Locations

1001 Clifton Ave
Unit 2
Clifton, NJ 07013

Practitioners & affiliated clinicians

Practitioners 2

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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1295163343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORNWALL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163311",
            "telephone_number": "732-698-1000",
            "fax_number": "732-698-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORNWALL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163311",
            "telephone_number": "732-698-1000",
            "fax_number": "732-698-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY INTERVENTIONAL PAIN MANAGEMENT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "POONIA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-952-5533",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "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 East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.