ADVANCED HEALING & PAIN RELIEF CENTER LLC NPI 1891064846

NPI Information

NPI: 1891064846
Provider Name: ADVANCED HEALING & PAIN RELIEF CENTER, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2414 MORRIS AVE STE 101
UNION, NJ
ZIP 07083
Phone: (908) 349-0342
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ADVANCED HEALING & PAIN RELIEF CENTER, LLC is a point of service in Union, NJ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ADVANCED HEALING & PAIN RELIEF CENTER, LLC NPI is 1891064846. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2414 MORRIS AVE STE 101
UNION, NJ
ZIP 07083-708
Phone: (908) 349-0342

The provider's authorized official is Michael P Willemse .
The authorized official title is Owner and has the following contact phone number (908) 349-0342.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 3/18/2022.

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	License Number	License State	Primary
1	225100000X	Physical Therapist			No
2	111N00000X	Chiropractor			No
3	305S00000X	Point of Service	38MC00689200	NEW JERSEY	Yes

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
1	38MC00689200	OTHER	NEW JERSEY	CHIROPRACTIC LICENSE
2	40QA01007300	OTHER	NEW JERSEY	PHYSICAL THERAPY LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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