Active NPI
Premier Pain Centers, LLC
- Interventional Pain Medicine Physician
- Toms River, NJ
National Provider Identifier
1780246017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PREMIER PAIN CENTERS, LLC
- Practice address
- 1430 Hooper Ave Ste 205
Toms River, NJ 08753-2895 - Phone
- (410) 329-1070
- Fax
- (410) 329-1054
- NPI assigned
- Jul 8, 2019
- 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
- Nicole Finkle
- Title
- RCM Sr. Director
- Phone
- (719) 243-9490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1430 Hooper Ave Ste 205
Toms River, NJ 08753-2895
Mailing address
4960 SW 72ND Ave Ste 405
Miami, FL 33155-5506
Phone (469) 458-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210224001817 | NJ | DME Supplier - Physician - Interventional Pain Management | 0648261792 | Practice locations: Toms River, NJ |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Interventional Pain Medicine Physician
- Freehold, NJ
- NPI 1104307230
0648261792
-
- Interventional Pain Medicine Physician
- Shrewsbury, NJ
- NPI 1306327259
0648261792
-
- Pain Medicine (Anesthesiology) Physician
- Shrewsbury, NJ
- NPI 1801987078
0648261792
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2127636 | Premier Pain Centers, LLC | Certificate of waiver | Mar 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Premier Pain Centers LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Pain Medicine Physician
- Brick, NJ
- NPI 1063993103
-
- Interventional Pain Medicine Physician
- Freehold, NJ
- NPI 1104307230
-
- Interventional Pain Medicine Physician
- Toms River, NJ
- NPI 1205317344
-
- Interventional Pain Medicine Physician
- East Brunswick, NJ
- NPI 1780165829
Locations
170 Avenue At the Cmn
Ste 6
Shrewsbury, NJ 07702
Phone (732) 460-0045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1780246017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 SW 72ND AVE STE 405",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555506",
"telephone_number": "469-458-9222",
"fax_number": "540-918-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 HOOPER AVE STE 205",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532895",
"telephone_number": "410-329-1070",
"fax_number": "410-329-1054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PAIN CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "FINKLE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "RCM SR. DIRECTOR",
"authorized_official_telephone_number": "719-243-9490"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
- Preferred Home Health Care & Nursing Services Inc
- Preferred Home Health Care & Nursing Services, Inc
- Preferred Home Health Care and Nursing Services Inc
- Premier Brain and Spine LLC
- Premier Dermatology Clinic LLC
- Premier Pain Centers, LLC.
- Premier Perinatal, L.L.C.
- Premier Rehab Servicesllc
- Gopu Premrajan
- Alaysha Prestia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.