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ADVANCED SPINE AND PAIN CENTER LLC
NPI 1003279506
Clinic/Center - Pain in Newark, NJ

Active since April 01, 2016
1060 BROAD STREET, NEWARK, NJ 07102(615) 472-4692 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Spine And Pain Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPINE AND PAIN CENTER LLC (NPI 1003279506) is a healthcare organization registered as a pain in Newark, New Jersey and active in the NPI registry since April 2016. The organization lists Sukdeb Datta, Manager, as its authorized official.

NPPES Registry Identity

NPI1003279506
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameADVANCED SPINE AND PAIN CENTER LLC
Location Address1060 BROAD STREETNewark, NJ 07102
Mailing Address1 Treetop CtBerkeley Heights, NJ 07922
Phone(615) 472-4692
Organization SubpartNo
Authorized OfficialSukdeb DattaManager · (615) 479-4692
Enumeration DateApril 1, 2016
✔ NPI 1003279506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in NJ · 25MA08823500
1060 BROAD STREET, Newark, NJ 07102
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Other Identifiers 1

Medicare UPINH20467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Spine And Pain Center LLC's NPI number?

The NPI number for Advanced Spine And Pain Center LLC is 1003279506. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Advanced Spine And Pain Center LLC located?

Advanced Spine And Pain Center LLC is located at 1060 Broad Street, Newark, NJ 07102. The listed phone number is (615) 472-4692.

What is Advanced Spine And Pain Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Advanced Spine And Pain Center LLC was last updated on April 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.