Organization Active NPI

Manhattan Spine & Pain Medicine New Jersey, PC

  • Interventional Pain Medicine Physician
  • South Amboy, NJ
National Provider Identifier
1376974642
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MANHATTAN SPINE & PAIN MEDICINE NEW JERSEY, PC
Practice address
540 Bordentown Ave
South Amboy, NJ 08879-1546
Phone
(732) 721-7227
Fax
(732) 721-7226
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Rosemarie Mondello
Title
Office Manager
Phone
(732) 721-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

540 Bordentown Ave
South Amboy, NJ 08879-1546

Mailing address

540 Bordentown Ave
South Amboy, NJ 08879-1546
Phone (732) 721-7227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1376974642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BORDENTOWN AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791546",
            "telephone_number": "732-721-7227",
            "fax_number": "732-721-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BORDENTOWN AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791546",
            "telephone_number": "732-721-7227",
            "fax_number": "732-721-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN SPINE & PAIN MEDICINE NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MONDELLO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-721-7227"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.