Active NPI
Mobile Pain Solutions, PC
- Pain Medicine (Anesthesiology) Physician
- Toms River, NJ
National Provider Identifier
1417409590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 262028
- Legal business name
- MOBILE PAIN SOLUTIONS, PC
- Practice address
- 9 Hospital Drive
Toms River, NJ 08755-6425 - Phone
- (732) 441-7177
- Fax
- (732) 441-7165
- NPI assigned
- Oct 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manan Patel, MD
- Title
- Co-Owner
- Phone
- (732) 441-7177
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 262028 | NY | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 30937 | NJ |
Addresses
Primary practice location
9 Hospital Drive
Toms River, NJ 08755-6425
Mailing address
9 Hospital Drive
Toms River, NJ 08755-6425
Phone (732) 441-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AWAITING NUMBER | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477353600000",
"number": "1417409590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HOSPITAL DRIVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556425",
"telephone_number": "732-441-7177",
"fax_number": "732-441-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HOSPITAL DRIVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556425",
"telephone_number": "732-441-7177",
"fax_number": "732-441-7165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE PAIN SOLUTIONS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MANAN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "732-441-7177",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "262028",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "30937",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AWAITING NUMBER",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.