Advanced Pain Care LLC
Specialist in Maplewood, NJ. Organization (NPI-2).
NPI number1639487259
StatusActive
Last updated in NPPESDec 5, 2018
Details
- NPI
- 1639487259
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2010
- Last updated
- Dec 5, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 25MA08392000 | NJ | Yes |
Practice location
2040 Millburn Ave Ste 104Maplewood, NJ 07040-3716
Phone 908-242-3688 · Fax 908-242-3902
Mailing address
2040 Millburn Ave Ste 201Maplewood, NJ 07040-3716
Phone 908-723-6901 · Fax 908-242-3902
Authorized official
Ningning He
Owner
9087236901
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