Provider Demographics
NPI:1033137781
Name:ASSOCIATED PAIN SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ASSOCIATED PAIN SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-660-1999
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-0655
Mailing Address - Country:US
Mailing Address - Phone:732-660-1999
Mailing Address - Fax:732-660-1998
Practice Address - Street 1:1907 STATE ROUTE 35
Practice Address - Street 2:SUITE 2
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2765
Practice Address - Country:US
Practice Address - Phone:732-660-1999
Practice Address - Fax:732-660-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0600231434207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0077071Medicaid
NJ0077071Medicaid