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SPINE AND PAIN SPECIALTY CARE LLC
NPI 1881090413
Anesthesiology - Pain Medicine in Elizabeth, NJ

Active since November 10, 2014CLIA 31D2087578 · Waiver
219 S BROAD ST, ELIZABETH, NJ 07202(908) 818-1600(908) 818-1601 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spine And Pain Specialty Care Llc NPPES

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

SPINE AND PAIN SPECIALTY CARE LLC (NPI 1881090413) is a healthcare organization registered as a pain medicine in Elizabeth, New Jersey and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Edward Shen, Pain Physician, as its authorized official.

NPPES Registry Identity

NPI1881090413
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSPINE AND PAIN SPECIALTY CARE LLC
Location Address219 S BROAD STElizabeth, NJ 07202-3453
Mailing Address219 S Broad StElizabeth, NJ 07202-3453 · (908) 818-1600 · Fax (908) 818-1601
Phone(908) 818-1600
Fax(908) 818-1601
Organization SubpartNo
Authorized OfficialEdward ShenPain Physician · (908) 818-1600
Enumeration DateNovember 10, 2014
Last NPPES UpdateJuly 25, 2016
✔ NPI 1881090413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
219 S BROAD ST, Elizabeth, NJ 07202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine And Pain Specialty Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spine And Pain Specialty Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edward Shen, MD
Pain Management
NPI 1093973174
219 S BROAD ST SUITE 2
Elizabeth, NJ 07202
(201) 877-0518
✔ PECOS0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2087578

Spine And Pain Speciality Care · Elizabeth, NJ
Active · expires Nov 30, 2026
CLIA Number31D2087578
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorEdward J. Shen
Laboratory Phone(201) 877-0518
Laboratory LocationSpine And Pain Speciality Care219 S Broad Street, Elizabeth, NJ 07202
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Spine And Pain Specialty Care LLC's NPI number?

The NPI number for Spine And Pain Specialty Care LLC is 1881090413. It was assigned to this organization in the NPPES registry on November 10, 2014.

Where is Spine And Pain Specialty Care LLC located?

Spine And Pain Specialty Care LLC is located at 219 S Broad St, Elizabeth, NJ 07202. The listed phone number is (908) 818-1600.

What is Spine And Pain Specialty Care LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Spine And Pain Specialty Care LLC enrolled in Medicare?

Yes. Spine And Pain Specialty Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine And Pain Specialty Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Spine And Pain Specialty Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spine And Pain Specialty Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2087578) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spine And Pain Specialty Care LLC was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.