GARDEN STATE SPINE AND PAIN CENTERS – NPI #1861887630
Clinic/Center

GARDEN STATE SPINE AND PAIN CENTERS is an AHC clinic located in CLIFTON, NJ. NPPES has assigned the NPI number 1861887630 to GARDEN STATE SPINE AND PAIN CENTERS on March 30, 2015. 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 GARDEN STATE SPINE AND PAIN CENTERS below.

NPI Profile for
GARDEN STATE SPINE AND PAIN CENTERS

NPI Number
1861887630
Enumeration Date

(more than 11 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
GARDEN STATE SPINE AND PAIN CENTERS
Primary location
1010 CLIFTON AVE
SUITE 203
CLIFTON, NJ 07013-3519
Phone: (862) 335-9696 Fax:
Mailing address
1 TREETOP CT
BERKELEY HEIGHTS, NJ 07922-2531
Phone: Fax:
Organization Subpart
No
Authorized Official
SUKDEB DATTA
PRESIDENT
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.