Precision Pain & Spine Institute LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PRECISION PAIN & SPINE INSTITUTE LLC

Practice address

1255 Whitehorse Mercerville Rd
Building B Suite 510
Hamilton, NJ 08619-3800

Phone

(732) 444-8888

Fax

(732) 515-4000

NPI assigned

Aug 24, 2016

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wael Elkholy, M.D.NPI 1437240298

Title

Owner

Phone

(732) 762-6143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Precision Pain Spine Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precision Pain & Spine Institute LLC

  dba Precision Imaging Technology

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Somerset, NJ
  • NPI 1154025153
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Precision Pain & Spine Institute LLC

  dba Precision Imaging Technology

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Somerset, NJ
  • NPI 1154025153
  NPPES parent name

Practitioners 10

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.

• Wael Elkholy, MD, LAC

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, NJ
  • NPI 1437240298
  Medicare reassignment Care Compare group Authorized official
• Omerkiam Baksh, D.C.

  • Chiropractor
  • Jersey City, NJ
  • NPI 1952403529
  Medicare reassignment Care Compare group NPD
• Aldou Cinco, PT

  • Physical Therapist
  • Franklin Lakes, NJ
  • NPI 1699850123
  Medicare reassignment Care Compare group NPD
• Ryan Mangubat, P.T.

  • Physical Therapist
  • Clifton, NJ
  • NPI 1609911809
  Medicare reassignment Care Compare group NPD
• Douglas Edward Pitchford, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Iselin, NJ
  • NPI 1255432068
  Medicare reassignment Care Compare group NPD
• Ashraf Sakr, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, NJ
  • NPI 1679655385
  Medicare reassignment Care Compare group
• Edmund Benaojan

  • Physical Therapist
  • Whippany, NJ
  • NPI 1497022867
  Medicare reassignment NPD
• Cherrilyn U. Garcia, PT

  • Physical Therapist
  • Franklin Lakes, NJ
  • NPI 1780839456
  Medicare reassignment NPD
• Monica J. Johnson, NP, LAC, DC

  • Adult Health Nurse Practitioner
  • Union, NJ
  • NPI 1346348745
  Medicare reassignment
• Elsa Sophia Olan, APN

  • Family Nurse Practitioner
  • Hamilton, NJ
  • NPI 1235502725
  Medicare reassignment

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1952856569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GRAYSON DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024932",
            "telephone_number": "732-762-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WHITEHORSE MERCERVILLE RD",
            "address_2": "BUILDING B SUITE 510",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193800",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088614124",
            "country_code": "US",
            "telephone_number": "732-376-0606",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Newark Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073062348",
            "country_code": "US",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Oak Tree Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202070",
            "country_code": "US",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Clifton Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131880",
            "country_code": "US",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 S Munn Ave",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070183433",
            "country_code": "US",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1089 Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072012984",
            "country_code": "US",
            "telephone_number": "732-444-8888",
            "fax_number": "732-515-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION PAIN & SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2023-04-17",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "ELKHOLY",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-762-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Hamilton, NJ
• Providers in Hamilton, 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 Apr 17, 2023; 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.

Verify at the official NPI Registry.