Advanced Pain and Spine Institute of Florida LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC

Doing business as

Advanced Pain and Spine Institute

Practice address

1301 Plantation Island Dr S Ste 302a
St Augustine, FL 32080-3117

Phone

(312) 952-4422

NPI assigned

May 20, 2019

Last updated

Aug 5, 2019By 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

Adnan Faruqi, MDNPI 1558771238

Title

Owner

Phone

(312) 952-4422

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Pain and Spine Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

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.

• Adnan Faruqi, M.D.

  • Interventional Pain Medicine Physician
  • St Augustine, FL
  • NPI 1558771238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1386201960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 302A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803117",
            "telephone_number": "904-461-9330",
            "fax_number": "904-461-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 302A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803117",
            "telephone_number": "312-952-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "FARUQI",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-952-4422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME140144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Pain and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.