Edison Spine and Pain Management, P.C.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MB10248900 Issued in NJ

Legal business name

EDISON SPINE AND PAIN MANAGEMENT, P.C.

Practice address

1692 Oak Tree Road
Edison, NJ 08820

Phone

(732) 343-6543

Fax

(732) 906-3675

NPI assigned

Jun 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Anup H. Patel, D.O.NPI 1194068916

Title

Owner

Phone

(732) 742-7448

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anup H Patel, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Edison, NJ
  • NPI 1194068916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801380522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE ROAD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-343-6543",
            "fax_number": "732-906-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE ROAD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-343-6543",
            "fax_number": "732-906-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON SPINE AND PAIN MANAGEMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANUP",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-742-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB10248900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edison RX Inc
• Edison Sheltered Workshop, Inc.
• Edison Spinal Monitoring LLC
• Edison Spine & Joint Care LLC
• Edison Spine & Pain Center LLC
• Edison Spine Center
• Edison Surgery Center LLC
• Edison Surgical Center, L.L.C.
• Edison Township Board of Education
• Edison Urgent Care Inc

• Interventional Pain Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.