Nextgen Pain Associates & Rehabilitation LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

NEXTGEN PAIN ASSOCIATES & REHABILITATION LLC

Practice address

13530 Michigan Ave
Ste 310
Dearborn, MI 48126-3574

Phone

(313) 528-0181

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Nura Kutob

Title

Owner/Ceo

Phone

(313) 528-0181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1790226314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481210564",
            "telephone_number": "313-528-0181",
            "fax_number": "313-528-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "STE 310",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "313-528-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN PAIN ASSOCIATES & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "KUTOB",
        "authorized_official_first_name": "NURA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "313-528-0181"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie Newsome
• Chantinique Newson
• Vashti Newton
• Nextgen Diagnostics LLC
• Nextgen Legacy Holdings LLC
• Nextgen Rehab LLC
• Turiya Nguinea
• Brandon T Nguyen, MD
• Michael Nguyen, DMD
• Demarco D Nicholas-Johnson

• Pain Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.