NPIMap

Organization Active NPI

Interventional Pain Medicine LLC.

  • Specialist
  • Morganville, NJ
National Provider Identifier
1700048428
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07064000 Issued in NJ
Legal business name
INTERVENTIONAL PAIN MEDICINE LLC.
Practice address
24 Four Columns Dr
Morganville, NJ 07751-4459
Phone
(732) 390-1424
Fax
(732) 390-1430
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Mohsen Ayad Kalliny, M.D
Title
Cheif of Corporation
Phone
(732) 390-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA07064000 NJ Primary

Addresses

Primary practice location

24 Four Columns Dr
Morganville, NJ 07751-4459

Mailing address

24 Four Columns Dr
Morganville, NJ 07751-4459
Phone (732) 390-1424

National Provider Directory

National Provider Directory

Locations

10 Neptune Blvd
Ste 103
Neptune, NJ 07753
Phone (732) 775-0677

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1700048428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FOUR COLUMNS DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514459",
            "telephone_number": "732-390-1424",
            "fax_number": "732-390-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FOUR COLUMNS DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514459",
            "telephone_number": "732-390-1424",
            "fax_number": "732-390-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MEDICINE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "KALLINY",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_middle_name": "AYAD",
        "authorized_official_title_or_position": "CHEIF OF  CORPORATION",
        "authorized_official_telephone_number": "732-390-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07064000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.