NEW JERSEY SPINE AND PAIN INSTITUTE LLC
NPI 1972630788
Clinic/Center - Pain in Bayonne, NJ
About New Jersey Spine And Pain Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW JERSEY SPINE AND PAIN INSTITUTE LLC (NPI 1972630788) is a healthcare organization registered as a pain in Bayonne, New Jersey and active in the NPI registry since February 2007. The organization lists Joseph G. A. Ibrahim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New Jersey Spine And Pain Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by October 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to New Jersey Spine And Pain Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 New Jersey Spine And Pain Institute LLC's NPI number?
The NPI number for New Jersey Spine And Pain Institute LLC is 1972630788. It was assigned to this organization in the NPPES registry on February 28, 2007.
Where is New Jersey Spine And Pain Institute LLC located?
New Jersey Spine And Pain Institute LLC is located at 19 E 27th St, Bayonne, NJ 07002. The listed phone number is (201) 436-0033.
What is New Jersey Spine And Pain Institute LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is New Jersey Spine And Pain Institute LLC enrolled in Medicare?
Yes. New Jersey Spine And Pain Institute LLC is registered in the Medicare PECOS enrollment system.
When is New Jersey Spine And Pain Institute LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), New Jersey Spine And Pain Institute LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (DME, New Jersey, Physician - General Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through New Jersey Spine And Pain Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to New Jersey Spine And Pain Institute 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. The largest specialties are Nurse Practitioner (3), Physical Therapist in Private Practice (2) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for New Jersey Spine And Pain Institute LLC was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# New Jersey Spine And Pain Institute Llc · NPI 1972630788
Pain organization in Bayonne, New Jersey. Organization record, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1972630788 (Entity type: Organization)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Joseph Ibrahim, PRESIDENT
## Practice location
- **Address:** 19 E 27TH ST, Bayonne, NJ 07002-4608
- **Phone:** (201) 436-0033 · **Fax:** (201) 436-0079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, New Jersey, Physician - General Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Physical Therapist in Private Practice (2), Internal Medicine (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2013
- **Other identifiers:** Medicare PIN 109180 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1972630788) · Data from the CMS NPPES public registry.