| New Jersey Pain And Neuropathy Centers Llc | |
|
295 Pierson Ave Ste 101 Edison NJ 08837-3118 | |
| (732) 738-1800 | |
| Not Available |
| Full Name | New Jersey Pain And Neuropathy Centers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 295 Pierson Ave Ste 101, Edison, New Jersey |
| Authorized Official Name and Position | Douglas Zimmel (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7327381800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Pain And Neuropathy Centers Llc 295 Pierson Ave Ste 101 Edison NJ 08837-3118 Ph: (732) 738-1800 | New Jersey Pain And Neuropathy Centers Llc 295 Pierson Ave Ste 101 Edison NJ 08837-3118 Ph: (732) 738-1800 |
| NPI Number | 1215526033 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 01/15/2021 |
| Medicare PECOS PAC ID | 9032525530 |
|---|---|
| Medicare Enrollment ID | O20210308002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215526033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Douglas Downing D'orio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063455004 PECOS PAC ID: 2567569098 Enrollment ID: I20070517000697 |
| Provider Name | Selena Sackroolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152080 PECOS PAC ID: 7810229275 Enrollment ID: I20191105000021 |
| Provider Name | Marygrace C Hajec |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366766602 PECOS PAC ID: 7012229867 Enrollment ID: I20211011002728 |
| Provider Name | Dana Victoria Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952974677 PECOS PAC ID: 6305230756 Enrollment ID: I20220228002565 |
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