Organization Active NPI

Atlantic Spine and Joint Pain Center

  • Interventional Pain Medicine Physician
  • Manalapan, NJ
National Provider Identifier
1740904440
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Edward Alexeev, MDNPI 1588911226
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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20221121003289 NJ Part B Supplier - Clinic/Group Practice 0244608347 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.