NPIMap

Organization Active NPI

Advanced Pain Solutions PC

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1740548478
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08003800 Issued in NJ
Legal business name
ADVANCED PAIN SOLUTIONS PC
Practice address
670 N Beers St
BLDG 2, Suie 1
Holmdel, NJ 07733-1516
Phone
(732) 226-6603
Fax
(888) 500-0606
NPI assigned
May 1, 2012
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Serge Menkin, MDNPI 1881670784
Title
President
Phone
(732) 226-6603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA08003800 NJ Primary

Addresses

Primary practice location

670 N Beers St
BLDG 2, Suie 1
Holmdel, NJ 07733-1516

Mailing address

670 N Beers St
BLDG 2, Suie 1
Holmdel, NJ 07733-1516
Phone (732) 226-6603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1740548478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG 2, SUIE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-226-6603",
            "fax_number": "888-500-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG 2, SUIE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-226-6603",
            "fax_number": "888-500-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "MENKIN",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-226-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08003800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.