EDISON SPINE & PAIN CENTER LLC (NPI# 1780174136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780174136 |
Entity Type | Organization |
Organization Name | EDISON SPINE & PAIN CENTER LLC |
Practice Address |
940 Amboy Ave Ste 103 Edison NJ 08837-2869 |
Practice Telephone | 3473809138 |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |
Authorized Official Name | DR. SUKDEB DATTA (PRESIDENT) |
Authorized Official Telephone | 6154794692 |
Authorized Official Credential | MD, MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
25MA08823500 | NJ | Ambulatory Health Care Facilities |
Street Address |
940 AMBOY AVE STE 103 |
City | EDISON |
State | NJ |
Zip Code | 08837-2869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
Find all providers in zip 08837 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043764269 | Interventional Pain and Spine Institute Inc | Clinic/Center | 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 | 2016-08-04 |
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 |
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 |
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 |
1861863524 | Bridgeview Pain Center LLC | Clinic/Center | 1566 Lemoine Ave, Fort Lee, NJ 07024-5635 | 2015-10-07 |
1578944278 | Pain Relief Center of Central New Jersey, LLC | Clinic/Center | 855 Woodgate Ave, Apt 2, Long Branch, NJ 07740-4871 | 2015-06-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on EDISON SPINE & PAIN CENTER 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.