Active NPI
Atlantic Spine and Joint Pain Center
- Interventional Pain Medicine Physician
- Manalapan, NJ
National Provider Identifier
1740904440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ATLANTIC SPINE AND JOINT PAIN CENTER
- Practice address
- 200 Craig Rd Ste 118
Manalapan, NJ 07726-8735 - Phone
- (732) 385-5537
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Alexeev, MD
- Title
- Physician
- Phone
- (732) 385-5537
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
200 Craig Rd Ste 118
Manalapan, NJ 07726-8735
Mailing address
200 Craig Rd Ste 118
Manalapan, NJ 07726-8735
Phone (732) 385-5537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
901 W Main St
Ste 302
Freehold, NJ 07728
Phone (732) 303-1616
200 Craig Rd
Ste 118
Manalapan, NJ 07726
Phone (732) 385-5537
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIGCDD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Toms River, NJ
- NPI 1588911226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1740904440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CRAIG RD STE 118",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268735",
"telephone_number": "732-385-5537",
"fax_number": "732-538-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CRAIG RD STE 118",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268735",
"telephone_number": "732-385-5537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC SPINE AND JOINT PAIN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "ALEXEEV",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "732-385-5537",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.