Center for Pain Control New Brunswick, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MA06352100 Issued in NJ

Legal business name

CENTER FOR PAIN CONTROL NEW BRUNSWICK, LLC

Practice address

440 S Main St
Milltown, NJ 08850-1725

Phone

(732) 967-0050

NPI assigned

Aug 17, 2007

Last updated

Nov 15, 2007By 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

Mr. Gabriele Philip Jasper, M.D.

Title

Managing Member

Phone

(732) 262-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1376735811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501725",
            "telephone_number": "732-967-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501725",
            "telephone_number": "732-967-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN CONTROL NEW BRUNSWICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "GABRIELE",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-262-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA06352100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Milltown, NJ
• Providers in Milltown, 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 Nov 15, 2007; 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.