ADVANCED SPINE AND PAIN CENTER LLC – NPI #1003279506
Clinic/Center

ADVANCED SPINE AND PAIN CENTER LLC is an AHC clinic located in NEWARK, NJ. NPPES has assigned the NPI number 1003279506 to ADVANCED SPINE AND PAIN CENTER LLC on April 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED SPINE AND PAIN CENTER LLC below.

NPI Profile for
ADVANCED SPINE AND PAIN CENTER LLC

NPI Number
1003279506
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED SPINE AND PAIN CENTER LLC
Primary location
1060 BROAD STREET
NEWARK, NJ 07102
Phone: (615) 472-4692 Fax:
Mailing address
1 TREETOP CT
BERKELEY HEIGHTS, NJ 07922
Phone: Fax:
Organization Subpart
No
Authorized Official
SUKDEB DATTA
MANAGER
Phone: (615) 479-4692
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)		 NJ 25MA08823500

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.