ORIGIN MEDICAL GROUP LLC
NPI 1417898727
Pain Medicine - Interventional Pain Medicine in Wayne, NJ

Active since April 02, 2026
401 HAMBURG TPKE STE 310, WAYNE, NJ 07470(973) 310-5497(862) 298-0729 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Origin Medical Group Llc NPPES

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

ORIGIN MEDICAL GROUP LLC (NPI 1417898727) is a healthcare organization registered as an interventional pain medicine in Wayne, New Jersey and active in the NPI registry since April 2026. The organization lists Amir Issa, Owner, as its authorized official.

NPPES Registry Identity

NPI1417898727
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameORIGIN MEDICAL GROUP LLC
Location Address401 HAMBURG TPKE STE 310Wayne, NJ 07470-2139
Mailing Address189 Berdan Ave Unit 171Wayne, NJ 07470-3233 · (973) 310-5497 · Fax (862) 298-0729
Fax(862) 298-0729
Organization SubpartNo
Authorized OfficialAmir IssaOwner · (973) 310-5497
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1417898727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
401 HAMBURG TPKE STE 310, Wayne, NJ 07470

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
401 HAMBURG TPKE STE 310
WAYNE, NJ 07470
Internal Medicine
401 HAMBURG TPKE STE 310
WAYNE, NJ 07470
Internal Medicine (Pulmonary Disease)
401 HAMBURG TPKE STE 310
WAYNE, NJ 07470

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 Origin Medical Group LLC's NPI number?

The NPI number for Origin Medical Group LLC is 1417898727. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Origin Medical Group LLC located?

Origin Medical Group LLC is located at 401 Hamburg Tpke Ste 310, Wayne, NJ 07470. The listed phone number is (973) 310-5497.

What is Origin Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Origin Medical Group LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.