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INTERVENTIONAL PAIN SPINE & ORTHOPEDICS PA NPI 1912663048


NPI Information

NPI: 1912663048
Provider Name: INTERVENTIONAL PAIN SPINE & ORTHOPEDICS PA
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
185 KINGSLAND ST
NUTLEY, NJ
ZIP 07110
Phone: (973) 688-8543
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INTERVENTIONAL PAIN SPINE & ORTHOPEDICS PA is an interventional pain medicine pain medicine in Nutley, 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. INTERVENTIONAL PAIN SPINE & ORTHOPEDICS PA NPI is 1912663048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

185 KINGSLAND ST
NUTLEY, NJ
ZIP 07110-119
Phone: (973) 688-8543

The provider's authorized official is Marisol J Reyes .
The authorized official title is Rcm and has the following contact phone number (973) 688-8543.

The enumeration date for this NPI number is 11/12/2021 and was last updated on 12/17/2021.


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
1207LP2900XAnesthesiologyPain MedicineNo
2207T00000XNeurological SurgeryNo
3207X00000XOrthopaedic SurgeryNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
5208VP0014XPain MedicineInterventional Pain MedicineYes
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo

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
11003194812OTHERNPI
21497870158OTHERNPI
31780831404OTHERNPI
41124236229OTHERNPI
51306862248OTHERNPI
61912349390OTHERNPI
71992754634OTHERNPI
81124102652OTHERNPI
91184832255OTHERNPI

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
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