Center for Spine Intervention & Pain Management, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08116500 Issued in NJ

Legal business name

CENTER FOR SPINE INTERVENTION & PAIN MANAGEMENT, LLC

Practice address

2117 Oak Tree Rd
Suite 209
Edison, NJ 08820-1422

Phone

(732) 556-7467

Fax

(732) 994-0320

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sergei Margulian, M.D.

Title

Doctor

Phone

(732) 566-7467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1720393226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 OAK TREE RD",
            "address_2": "SUITE 209",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201422",
            "telephone_number": "732-556-7467",
            "fax_number": "732-994-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 OAK TREE RD",
            "address_2": "SUITE 209",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201422",
            "telephone_number": "732-556-7467",
            "fax_number": "732-994-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE INTERVENTION & PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "MARGULIAN",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-566-7467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08116500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.