NPIMap

Organization Active NPI

Tristate Spine and Pain LLC

  • Pain Medicine (Anesthesiology) Physician
  • Whiting, NJ
National Provider Identifier
1548675879
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA08297000 Issued in NJ
Legal business name
TRISTATE SPINE AND PAIN LLC
Practice address
63 Lacey Rd
Suite C
Whiting, NJ 08759-2966
Phone
(732) 849-9500
Fax
(732) 849-9501
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Rajat Sekhar, M.D.NPI 1598901217
Title
Co-Founder
Phone
(732) 849-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X 25MA09282300 NJ
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X 25MA08297000 NJ Primary

Addresses

Primary practice location

63 Lacey Rd
Suite C
Whiting, NJ 08759-2966

Mailing address

63 Lacey Rd
Suite C
Whiting, NJ 08759-2966
Phone (732) 849-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1548675879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LACEY RD",
            "address_2": "SUITE C",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592966",
            "telephone_number": "732-849-9500",
            "fax_number": "732-849-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LACEY RD",
            "address_2": "SUITE C",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592966",
            "telephone_number": "732-849-9500",
            "fax_number": "732-849-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE SPINE AND PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "SEKHAR",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "732-849-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09282300",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08297000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.