Organization Active NPI

Mobile Pain Solutions, PC

  • Pain Medicine (Anesthesiology) Physician
  • Toms River, NJ
National Provider Identifier
1417409590
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
262028 Issued in NY
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

Updated by the provider on Oct 25, 2016

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 262028 NY Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
AWAITING NUMBERMedicaidNJ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.