NASPAC1-PRO LLC (NPI# 1427427988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427427988 |
| Entity Type | Organization |
| Organization Name | NASPAC1-PRO LLC |
| Practice Address |
404 Creek Crossing Blvd Hainesport NJ 08036-2768 |
| Practice Telephone | 6098453988 |
| Practice Fax Number | 6092886078 |
| Mailing Telephone | 6098453988 |
| Mailing Fax Number | 6092886078 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | RENEE BOGDOL (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 6098453988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 495 Thomas Jones Way Ste 304, Exton, PA 193412553 | 4848796508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137018 | Naspac1-pro LLC | Clinic/Center | 495 Thomas Jones Way Ste 304, Exton, PA 19341-2553 | 2019-10-31 |
| Street Address |
404 CREEK CROSSING BLVD |
| City | HAINESPORT |
| State | NJ |
| Zip Code | 08036-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588693675 | Kieran A Slevin | Anesthesiology | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2006-07-01 |
| 1912470519 | Breshelle Bennett | Nurse Practitioner | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2019-01-07 |
| 1902306624 | Debra Fenderson-ivery | Nurse Practitioner | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2018-02-19 |
| 1104348648 | Nina Kovalev | Nurse Practitioner | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2017-07-15 |
| 1760854533 | Marie Gretta Bernard | Licensed Practical Nurse | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2015-10-20 |
| 1568849438 | Shaigan Javed Iqbal | Anesthesiology | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2015-04-30 |
| 1528483245 | Naspac1 LLC | Anesthesiology | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2014-03-04 |
| 1154527430 | Janet Osayamwen | Registered Nurse | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2007-06-25 |
| 1114089471 | Abhijeet Rastogi | Anesthesiology | 404 Creek Crossing Blvd, Hainesport, NJ 08036-2768 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915736 | Anthony Nguyen | Physical Therapist | Plaza 38 Shopping Center, 1509 Route 38, Suite 4, Hainesport, Nj 08036, NJ 08036 | 2019-07-26 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1609198381 | Michel Hyppolite | Family Medicine | 18 Bancroft Lane, Hamesport, NJ 08036 | 2010-02-22 |
| 1700119765 | Christopher T. Taylor Dc, PC | Chiropractor | 1308 Rt 38, Hainesport, NJ 08036 | 2009-09-09 |
| 1457584864 | Ken Sing Cheng | Physical Therapist | 1299 Route 38, Suite 9, Hainesport, NJ 08036 | 2009-09-02 |
| 1659514438 | Christine Kirkbride | Counselor | 1289 Route 38 Ste 203, Hainesport, NJ 08036 | 2009-04-09 |
| 1992960991 | Roanna Espino Alcera | Family Medicine | 103 Creek Crossing Boulevard, Hainesport, NJ 08036 | 2008-07-19 |
| 1255526448 | H2 Rehabilitation Services of New Jersey, LLC | Clinic/Center | 300 Creek Crossing Blvd, Suite 308, Hainesport, NJ 08036 | 2007-09-11 |
| 1811197692 | Rebecca Knight Warren | Physical Therapist | Creek Crossing Blvd, Blding 100, Ste 107, Hainesport, NJ 08036 | 2007-07-20 |
| 1235213471 | Ross Center for Orthopedics, LLC | Orthopaedic Surgery | 300 Creek Crossing Boulevard, Suite 307, Hainesport, NJ 08036 | 2006-10-24 |
| Find all providers in zip 08036 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821630286 | Fresh Start Medical Center Inc. | Clinic/Center | 317 Cleveland Ave Fl 1, Highland Park, NJ 08904-1817 | 2019-10-16 |
| 1407342728 | Golden Holistic Treatment Center | Clinic/Center | 6809 Bergenline Ave, West New York, NJ 07093-1807 | 2018-07-10 |
| 1396235990 | The Peace Within Spa & | Clinic/Center | 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 | 2018-05-18 |
| 1780174136 | Edison Spine & Pain Center LLC | Clinic/Center | 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 | 2018-05-11 |
| 1598279218 | Spine Institute of North America LLC | Clinic/Center | 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 | 2017-11-17 |
| 1245776582 | Jennifer Arango | Clinic/Center | 139 77th St, North Bergen, NJ 07047-5836 | 2017-01-10 |
| 1457896003 | Revive Spine and Pain Center | Clinic/Center | 515 South Broad St, Ste 201, Trenton, NJ 08611 | 2017-01-05 |
| 1043764269 | Interventional Pain and Spine Institute Inc | Clinic/Center | 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 | 2016-08-04 |
| 1003279506 | Advanced Spine and Pain Center LLC | Clinic/Center | 1060 Broad Street, Newark, NJ 07102 | 2016-04-01 |
| 1972978765 | Riverside Pain Management LLC | Clinic/Center | 1025 Maxwell Ln Apt 515, Hoboken, NJ 07030-6825 | 2015-12-06 |
| Find all providers with the same taxonomy | ||||
| City | HAINESPORT |
| Zip Code | 08036 |
Please comment or provide details below to improve the information on NASPAC1-PRO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.