Organization Active NPI

Interventional Spine and Pain Associates of New Jersey

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1801138938
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08453900 Issued in NJ
Legal business name
INTERVENTIONAL SPINE AND PAIN ASSOCIATES OF NEW JERSEY
Practice address
670 N Beers St
BLDG. 4, Suite 1
Holmdel, NJ 07733-1516
Phone
(732) 847-3163
Fax
(732) 847-3367
NPI assigned
Mar 27, 2013
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Dr. Alan S NG, MDNPI 1154525285
Title
Member Manager
Phone
(732) 847-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 25MA08453900 NJ Primary

Addresses

Primary practice location

670 N Beers St
BLDG. 4, Suite 1
Holmdel, NJ 07733-1516

Mailing address

670 N Beers St
BLDG. 4, Suite 1
Holmdel, NJ 07733-1516
Phone (732) 847-3163

National Provider Directory

National Provider Directory

Locations

670 N Beers St
Ste 1
Holmdel, NJ 07733
Phone (732) 226-5552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1801138938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG. 4, SUITE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-847-3163",
            "fax_number": "732-847-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG. 4, SUITE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-847-3163",
            "fax_number": "732-847-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE AND PAIN ASSOCIATES OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "732-847-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08453900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.