ATLANTIC SPINE CENTER NPI 1730106436

NPI Information

  • NPI: 1730106436
  • Provider Name: ATLANTIC SPINE CENTER
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 475 PROSPECT AVE
    SUITE 110
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 419-0200

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NPI Details

ATLANTIC SPINE CENTER is an interventional pain medicine pain medicine in West Orange, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ATLANTIC SPINE CENTER NPI is 1730106436. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

475 PROSPECT AVE
SUITE 110
WEST ORANGE, NJ
ZIP 07052-197
Phone: (973) 419-0200
Fax: (973) 419-0223

The provider's authorized official is Kaixuan Liu .
The authorized official title is President and has the following contact phone number (973) 419-0200.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 10/21/2015.

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
1208VP0014XPain MedicineInterventional Pain Medicine25MA07186700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103743MEDICARE PINNEW JERSEY

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: 11/21/2025

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