NPIMap

Organization Active NPI

Precision Pain & Spine Institute LLC

  • Interventional Pain Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1952856569
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

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

Mailing address

127 Grayson Dr
Belle Mead, NJ 08502-4932
Phone (732) 762-6143

Other practice location 1

333 Madison Ave
Perth Amboy, NJ 08861-4124
Phone (732) 376-0606

Other practice location 2

590 Newark Ave
Jersey City, NJ 07306-2348
Phone (732) 444-8888

Other practice location 3

1907 Oak Tree Rd Ste 102
Edison, NJ 08820-2070
Phone (732) 444-8888

Other practice location 4

721 Clifton Ave Ste 2A
Clifton, NJ 07013-1880
Phone (732) 444-8888

Other practice location 5

94 S Munn Ave
East Orange, NJ 07018-3433
Phone (732) 444-8888

Other practice location 6

1089 Elizabeth Ave
Elizabeth, NJ 07201-2984
Phone (732) 444-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161229000650 NJ Part B Supplier - Clinic/Group Practice 1254612591 Receives reassigned benefits from 10 practitioners
Practice locations: Clifton, NJ; Edison, NJ; Elizabeth, NJ; Hamilton, NJ; Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2166834Precision Pain & Spine Institute, LLC1255 Whitehorse Mercerville Road, Hamilton, NJ 08619Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory
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.

Locations

721 Clifton Ave
Ste 2A
Clifton, NJ 07013
Phone (973) 777-7727

1921 Oak Tree Rd
Ste 104
Edison, NJ 08820

333 Madison Ave
Perth Amboy, NJ 08861
Phone (732) 376-0606

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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": []
}

Other providers in Hamilton, NJ

Sources for this page

  • 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.