Princeton Pain and Spine Institute PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MA07339500 Issued in NJ

Legal business name

PRINCETON PAIN AND SPINE INSTITUTE PC

Practice address

123 Franklin Corner Rd
Suite 104
Lawrenceville, NJ 08648-2526

Phone

(386) 316-0850

Fax

(267) 639-6651

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Dinash Yanamadula, MD

Title

Ceo

Phone

(386) 316-0850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1740529080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 104",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 104",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "386-316-0850",
            "fax_number": "267-639-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PAIN AND SPINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "YANAMADULA",
        "authorized_official_first_name": "DINASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-316-0850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA07339500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princeton Healthcare Sysytem Medical Equipment
• Princeton Ivf Laboratory LLC
• Princeton Management Services
• Princeton Neuro-Ortho Specialists
• Princeton Pain & Spine Institute PC
• Princeton Pain Management & Wellness, LLC
• Princeton Perinatal Institute
• Princeton Pike Internal Medicine
• Princeton Pike RX LLC
• Princeton Sports and Family Medicine, P.C.

• Interventional Pain Medicine Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.