Provider Demographics
NPI:1598037889
Name:INTEGRITY SPINAL PAIN & ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:INTEGRITY SPINAL PAIN & ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-585-0006
Mailing Address - Street 1:601 EWING ST
Mailing Address - Street 2:SUITE C3
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2757
Mailing Address - Country:US
Mailing Address - Phone:609-585-0006
Mailing Address - Fax:
Practice Address - Street 1:1540 KUSER RD
Practice Address - Street 2:SUITE A1
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3828
Practice Address - Country:US
Practice Address - Phone:609-585-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00618900111N00000X
NJ25MA08038100208VP0014X
NJ25MA07057900208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty