NPIMap

Organization Active NPI

Centers for Pain Solutions,LLC

  • Ambulatory Surgical Clinic/Center
  • Nashua, NH
National Provider Identifier
1508934373
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
02841 Issued in NH
Legal business name
CENTERS FOR PAIN SOLUTIONS,LLC
Practice address
280 Main Street
Suite 420
Nashua, NH 03060
Phone
(603) 577-3003
Fax
(603) 577-3331
NPI assigned
Dec 1, 2006
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Gary M Janko
Title
Exec VP Chief Operating Officer
Phone
(603) 577-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 02841 NH Primary

Addresses

Primary practice location

280 Main Street
Suite 420
Nashua, NH 03060

Mailing address

280 Main Street
Suite 420
Nashua, NH 03060
Phone (603) 577-3003

Other identifiers 1

IdentifierTypeStateIssuer
30621691MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000384 NH Part B Supplier - Ambulatory Surgical Center 2062484306 Practice locations: Nashua, NH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Centers for Pain SolutionsllcCCN 30C0001020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

280 Main St
Ste 420
Nashua, NH 03060
Phone 60357730033

436 Amherst St
Ste 201
Nashua, NH 03063

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1508934373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAIN STREET",
            "address_2": "SUITE 420",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-577-3003",
            "fax_number": "603-577-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN STREET",
            "address_2": "SUITE 420",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-577-3003",
            "fax_number": "603-577-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR PAIN SOLUTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "JANKO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXEC VP CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "603-577-3003"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "02841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30621691",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.