Innovative Pain and Spine LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INNOVATIVE PAIN AND SPINE LLC

Practice address

2271 NJ Hwy 33
Suite 103
Hamilton, NJ 08690

Phone

(609) 890-4080

Fax

(609) 890-4090

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Adam Sackstein, MD

Title

Founder

Phone

(609) 605-4370

Specialties & licenses 1

Addresses

Other names 1

• Innovative Spine and Pain Other name

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1699471250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 NJ HWY 33",
            "address_2": "SUITE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-890-4080",
            "fax_number": "609-890-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 NJ HWY 33",
            "address_2": "SUITE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-890-4080",
            "fax_number": "609-890-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "SACKSTEIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "609-605-4370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Spine and Pain",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.