Provider Demographics
NPI:1407101041
Name:NJ PAIN CARE SPECIALISTS
Entity Type:Organization
Organization Name:NJ PAIN CARE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:BRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-720-0247
Mailing Address - Street 1:1806 HIGHWAY 35
Mailing Address - Street 2:SUITE 305
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2700
Mailing Address - Country:US
Mailing Address - Phone:732-720-0247
Mailing Address - Fax:732-508-9100
Practice Address - Street 1:1806 HIGHWAY 35
Practice Address - Street 2:SUITE 305
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2700
Practice Address - Country:US
Practice Address - Phone:732-720-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05733400207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF51460Medicare UPIN