SPINE AND PAIN SPECIALTY CARE LLC (NPI# 1881090413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881090413 |
| Entity Type | Organization |
| Organization Name | SPINE AND PAIN SPECIALTY CARE LLC |
| Practice Address |
219 S Broad St Elizabeth NJ 07202-3453 |
| Practice Telephone | 9088181600 |
| Practice Fax Number | 9088181601 |
| Mailing Telephone | 9088181600 |
| Mailing Fax Number | 9088181601 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | EDWARD SHEN (PAIN PHYSICIAN) |
| Authorized Official Telephone | 9088181600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
219 S BROAD ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892732 | James Z. Cinberg | Specialist | 219 S Broad St, Ste 3, Elizabeth, NJ 07202-3453 | 2005-06-24 |
| 1578072930 | Eye Center of Elizabeth LLC | Ophthalmology | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2017-09-28 |
| 1093973174 | Edward Shen | Anesthesiology | 219 S Broad St, Suite 2, Elizabeth, NJ 07202-3453 | 2008-05-27 |
| 1891820965 | Bolanowski Surgical Group PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2007-02-22 |
| 1053411272 | Jung San Shen | Internal Medicine | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2006-09-25 |
| 1407846587 | Paul J Bolanowski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 219 S Broad St, Elizabeth, NJ 07202-3453 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548505019 | Nj Pain Management & Rehab, P.a. | Anesthesiology | 645 Elizabeth Ave, Elizabeth, NJ 07206-1131 | 2012-12-10 |
| 1326346529 | North Jersey Diagnostic & Pain Pa | Anesthesiology | 570 N Broad St Ste 2, Elizabeth, NJ 07208-3314 | 2011-03-11 |
| 1093973174 | Edward Shen | Anesthesiology | 219 S Broad St, Suite 2, Elizabeth, NJ 07202-3453 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPINE AND PAIN SPECIALTY CARE 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.