Organization Active NPI

NJ Pain Care Specialists

  • Pain Medicine (Anesthesiology) Physician
  • Oakhurst, NJ
National Provider Identifier
1407101041
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA05733400 Issued in NJ
Legal business name
NJ PAIN CARE SPECIALISTS
Practice address
1806 Highway 35
Suite 305
Oakhurst, NJ 07755-2700
Phone
(732) 720-0247
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Harris Nathan Bram, MDNPI 1922056936
Title
Sole Member
Phone
(732) 720-0247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 25MA05733400 NJ Primary

Addresses

Primary practice location

1806 Highway 35
Suite 305
Oakhurst, NJ 07755-2700

Mailing address

1806 Highway 35
Suite 305
Oakhurst, NJ 07755-2700
Phone (732) 720-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000580 NJ Part B Supplier - Clinic/Group Practice 0749438042 Receives reassigned benefits from 2 practitioners
Practice locations: East Brunswick, NJ; Toms River, NJ; Oakhurst, NJ

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
31D2058478NJ Pain Care Specialists1806 Highway 35, Oakhurst, NJ 07755Certificate of waiverMay 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
NJ Pain Care Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1407101041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 HIGHWAY 35",
            "address_2": "SUITE 305",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552700",
            "telephone_number": "732-720-0247",
            "fax_number": "732-508-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 HIGHWAY 35",
            "address_2": "SUITE 305",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552700",
            "telephone_number": "732-720-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PAIN CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "BRAM",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-720-0247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA05733400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.