Provider Demographics
NPI:1093363335
Name:NORTH AMERICAN SPINE & PAIN CONSULTANTS LLC NASPAC
Entity Type:Organization
Organization Name:NORTH AMERICAN SPINE & PAIN CONSULTANTS LLC NASPAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEULKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-410-9424
Mailing Address - Street 1:404 CREEK CROSSING BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2768
Mailing Address - Country:US
Mailing Address - Phone:609-845-3988
Mailing Address - Fax:609-288-6078
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:302-439-3321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies