JERSEY PREMIER PAIN NPI 1427414010

NPI Information

NPI: 1427414010
Provider Name: JERSEY PREMIER PAIN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
550 NEWARK AVE
SUITE 201
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 386-8800
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JERSEY PREMIER PAIN is a family nurse practitioner in Jersey City, NJ. JERSEY PREMIER PAIN NPI is 1427414010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 NEWARK AVE
SUITE 201
JERSEY CITY, NJ
ZIP 07306-326
Phone: (201) 386-8800
Fax: (201) 386-8801

The provider's authorized official is Jonathan T Mingoia .
The authorized official title is Medical and has the following contact phone number (201) 436-0911.

The enumeration date for this NPI number is 1/12/2016 and was last updated on 1/4/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		38MC00645300	NEW JERSEY	No
2	111N00000X	Chiropractor		38MC00473900	NEW JERSEY	No
3	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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