NPIMap

Organization Active NPI

Garden State Pain and Radiology Center 2, PC

  • Specialist
  • Brick, NJ
National Provider Identifier
1962723544
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06331000 Issued in NJ
Legal business name
GARDEN STATE PAIN AND RADIOLOGY CENTER 2, PC
Practice address
1608 Route 88 W
Suite 102
Brick, NJ 08724-3009
Phone
(732) 849-0077
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Sunita Mann
Title
Medical Director
Phone
(732) 849-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA06331000 NJ Primary

Addresses

Primary practice location

1608 Route 88 W
Suite 102
Brick, NJ 08724-3009

Mailing address

PO Box 397
Whiting, NJ 08759-0397
Phone (732) 849-0077

National Provider Directory

National Provider Directory

Locations

1608 Route 88
#702
Brick, NJ 08724

1364 Route 72 W
Ste 6
Manahawkin, NJ 08050
Phone (732) 425-7772

100 State Route 36
Ste 1F
West Long Branch, NJ 07764

1100 Route 70
Whiting, NJ 08759
Phone (732) 886-4955

Practitioners & affiliated clinicians

Practitioners 1

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": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1962723544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087590397",
            "telephone_number": "732-849-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-849-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PAIN AND RADIOLOGY CENTER 2, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-849-0077",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06331000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.