Provider Demographics
NPI:1093164410
Name:NORTH AMERICAN SPINE & PAIN CONSULTANTS LLC NASPAC
Entity Type:Organization
Organization Name:NORTH AMERICAN SPINE & PAIN CONSULTANTS LLC NASPAC
Other - Org Name:NASPAC1 LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABHIJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-845-3988
Mailing Address - Street 1:2600 GLASGOW AVE STE 126
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4777
Mailing Address - Country:US
Mailing Address - Phone:302-439-3063
Mailing Address - Fax:
Practice Address - Street 1:2600 GLASGOW AVE STE 126
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4777
Practice Address - Country:US
Practice Address - Phone:302-439-3063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08666500208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty