| Spine And Pain Centers, P. A. | |
|
1967 State Route 34 Ste 102 Wall Township NJ 07719-9738 | |
| (732) 345-1180 | |
| (732) 530-4476 |
| Full Name | Spine And Pain Centers, P. A. |
|---|---|
| Speciality | Specialist |
| Location | 1967 State Route 34 Ste 102, Wall Township, New Jersey |
| Authorized Official Name and Position | William Donald (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7323451180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Pain Centers, P. A. 1967 State Route 34 Ste 102 Wall Township NJ 07719-9738 Ph: (732) 345-1180 | Spine And Pain Centers, P. A. 1967 State Route 34 Ste 102 Wall Township NJ 07719-9738 Ph: (732) 345-1180 |
| NPI Number | 1215995030 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 04/25/2018 |
| Medicare PECOS PAC ID | 5193788263 |
|---|---|
| Medicare Enrollment ID | O20041109001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215995030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1730137878 PECOS PAC ID: 8820084130 Enrollment ID: I20040422000612 |
| Provider Name | Charles B Daknis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1891753604 PECOS PAC ID: 7517939309 Enrollment ID: I20040811001105 |
Cotler Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1937 Highway 35, Suite 2, Wall Township, NJ 07719 Phone: 732-449-0914 Fax: 732-449-5437 | |
Partners In Freedom Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3350 Hwy 138 Ste 217, Wall Township, NJ 07719 Phone: 732-974-1980 Fax: 732-681-0835 | |
Kathleen A Dowling, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Hwy 34, Building 1, Suite 103, Wall Township, NJ 07719 Phone: 732-280-7100 Fax: 732-280-7177 | |
Premise Health Of New Jersey Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Wyckoff Rd, Wall Township, NJ 07727 Phone: 732-256-5044 | |
Sandip Parikh Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2015 Tally Ho Dr, Wall Township, NJ 07719 Phone: 732-681-2737 Fax: 732-681-2737 | |
Autumn Ridge Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Hwy 138 Ste 217, Wall Township, NJ 07719 Phone: 732-974-1980 Fax: 732-974-8020 |