Advanced Interventional Pain Management, LLC
Organization Active NPI Specialist · Passaic, NJ
NPI 1497758296 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497758296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ADVANCED INTERVENTIONAL PAIN MANAGEMENT, LLC
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (973) 365-4747
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael A Reuveni, M.D.
- Title
- President
- Phone
- (973) 365-4747
Practitioners 1
-
Michael A Reuveni, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
PO Box 343
Midland Park, NJ 07432-0343
Phone (201) 804-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7771801 | Medicaid | NJ |
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.