NPIMap

Advanced Spine and Pain, LLC

Organization Active NPI Pain Medicine Physician · Hamilton, NJ

NPI 1548639339 · NPPES record last updated Feb 6, 2023

Key facts

NPI
1548639339
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine Physician 208VP0000X
Legal business name
ADVANCED SPINE AND PAIN, LLC
Practice address
3535 Quakerbridge Rd Ste 200
Hamilton, NJ 08619-1200
Phone
(888) 985-2727
Fax
(856) 779-0211
NPI assigned
Sep 22, 2015
Organization subpart
No

Authorized official

Name
Damean William Freas
Title
Ceo
Phone
(888) 985-2727

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 43

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

View all 43

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151210000292 NJ DME Supplier - Multi-Specialty - Physician 0648358234 Practice locations: Hamilton, NJ

National Provider Directory

Tax ID family
Advanced Spine and Pain LLC (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2081P2900X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208VP0000X Yes

Addresses

Primary practice location

3535 Quakerbridge Rd Ste 200
Hamilton, NJ 08619-1200

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (888) 985-2727

Other names

  • Relievus Doing business as

Other providers in Hamilton, NJ

All providers in Hamilton, NJ · Pain Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.