Spine and Joint Pain Center LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SPINE AND JOINT PAIN CENTER LLC

Practice address

399 North Ave
Fanwood, NJ 07023-1340

Phone

(908) 247-9011

Fax

(908) 709-7301

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ismail A Alhamrawy, M.D.NPI 1306011101

Title

Director

Phone

(908) 247-9011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ismail A Alhamrawy, MD

  • Physical Medicine & Rehabilitation Physician
  • Scotch Plains, NJ
  • NPI 1306011101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1407214661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 NORTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231340",
            "telephone_number": "908-247-9011",
            "fax_number": "908-709-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NORTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231340",
            "telephone_number": "908-247-9011",
            "fax_number": "908-709-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND JOINT PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "ALHAMRAWY",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-247-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scotch Plains Fanwood Dental Care Corp
• Raymond Shek, DPT
• Kathy Shin, O.D.
• Jennifer Souza
• Speech and Feeding Associates
• Angelica Spirito, BCBA
• Suburban Medical Group, P,a.
• Christina Sulfaro
• Jennifer R Sullivan, MS,CCC-SLP
• Hira Tanvir, FNP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.