NPIMap

Organization Active NPI

Accucare Medical & Pain Management Ctr of NJ, PC

  • Interventional Pain Medicine Physician
  • Milltown, NJ
National Provider Identifier
1790716702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ACCUCARE MEDICAL & PAIN MANAGEMENT CTR OF NJ, PC
Practice address
440 S Main St
Milltown, NJ 08850-1725
Phone
(732) 967-1001
Fax
(732) 257-3287
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Otto Harold Fisher, DC
Title
Vice President
Phone
(732) 967-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

440 S Main St
Milltown, NJ 08850-1725

Mailing address

440 S Main St
Milltown, NJ 08850-1725
Phone (732) 967-1001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790716702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501725",
            "telephone_number": "732-967-1001",
            "fax_number": "732-257-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501725",
            "telephone_number": "732-967-1001",
            "fax_number": "732-257-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUCARE MEDICAL & PAIN MANAGEMENT CTR OF NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-967-1001",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milltown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.