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NEW JERSEY INSTITUTE OF PAIN & NEUROLOGY LLC NPI 1184190084


NPI Information

NPI: 1184190084
Provider Name: NEW JERSEY INSTITUTE OF PAIN & NEUROLOGY, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D0111627

Address:
329 MAIN ST
HACKENSACK, NJ
ZIP 07601
Phone: (586) 506-1996
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NEW JERSEY INSTITUTE OF PAIN & NEUROLOGY, LLC is a specialist in Hackensack, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEW JERSEY INSTITUTE OF PAIN & NEUROLOGY, LLC NPI is 1184190084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

329 MAIN ST
HACKENSACK, NJ
ZIP 07601-804
Phone: (586) 506-1996

The provider's authorized official is Ehtesham Eddin Ansari .
The authorized official title is Manager and has the following contact phone number (586) 506-1996.

The CLIA number assigned to this NPI record is 31D0111627 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2018 and was last updated on 10/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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