NPIMap

Organization Active NPI

Advanced Pain Care LLC

  • Specialist
  • Maplewood, NJ
National Provider Identifier
1639487259
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA08392000 Issued in NJ
Legal business name
ADVANCED PAIN CARE LLC
Practice address
2040 Millburn Ave Ste 104
Maplewood, NJ 07040-3716
Phone
(908) 242-3688
Fax
(908) 242-3902
NPI assigned
Sep 16, 2010
Last updated
Dec 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Dr. Ningning He, MDNPI 1164699955
Title
Owner
Phone
(908) 723-6901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA08392000 NJ Primary

Addresses

Primary practice location

2040 Millburn Ave Ste 104
Maplewood, NJ 07040-3716

Mailing address

2040 Millburn Ave Ste 201
Maplewood, NJ 07040-3716
Phone (908) 723-6901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127000292 NJ Part B Supplier - Clinic/Group Practice 7315126018 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Maplewood, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2040 Millburn Ave
Ste 104
Maplewood, NJ 07040
Phone (908) 242-3688

2040 Millburn Ave
Ste 201
Maplewood, NJ 07040
Phone (973) 379-3688

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1639487259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 201",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716",
            "telephone_number": "908-723-6901",
            "fax_number": "908-242-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 104",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716",
            "telephone_number": "908-242-3688",
            "fax_number": "908-242-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "NINGNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-723-6901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08392000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.