Minimally Invasive Spine and Pain Ctr

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MINIMALLY INVASIVE SPINE AND PAIN CTR

Practice address

254B Mountain Ave
Suite 201
Hackettstown, NJ 07840-2413

Phone

(908) 684-5800

Fax

(908) 684-5606

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Atif Malik, M.D.

Title

Director

Phone

(973) 252-1166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1740418748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE 407",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-252-1166",
            "fax_number": "973-252-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE",
            "address_2": "SUITE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-684-5800",
            "fax_number": "908-684-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SPINE AND PAIN CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-252-1166",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold John Miller, ED. D.
• Nicole Miller
• Robert G Miller, RPH
• Savannah Leigh Miller
• Thomas F Miller Jr., D.C.
• Olivia Minniti
• Pamela Lyne Mitchell, M.S.,CCC-SLP
• Roxann G Mitchell, CNM
• Tara J. Moloney, LSCW
• Lee M Monday, PHD

• Specialist in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.