AVICENNA MEDICAL ARTS PLLC NPI 1639408461

NPI Information

NPI: 1639408461
Provider Name: AVICENNA MEDICAL ARTS, PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
660 TENNENT RD
SUITE 104
MANALAPAN, NJ
ZIP 07726
Phone: (646) 522-3664
Get Directions

AVICENNA MEDICAL ARTS, PLLC is an interventional pain medicine pain medicine in Manalapan, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. AVICENNA MEDICAL ARTS, PLLC NPI is 1639408461. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

660 TENNENT RD
SUITE 104
MANALAPAN, NJ
ZIP 07726-163
Phone: (646) 522-3664
Fax: (732) 831-6171

The provider's authorized official is Alexander Veder .
The authorized official title is Owner and has the following contact phone number (646) 522-3664.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 3/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	202C00000X	Independent Medical Examiner		25MA08792700	NEW JERSEY	No
2	207L00000X	Anesthesiology		25MA08792700	NEW JERSEY	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	25MA08792700	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A100022929	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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