Provider Demographics
NPI:1609438324
Name:NEW DAY PAIN & SPINE SPECIALISTS LLC
Entity Type:Organization
Organization Name:NEW DAY PAIN & SPINE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:PRABHAKAR REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNDAPPU REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-514-2779
Mailing Address - Street 1:7241 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8958
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9447
Practice Address - Country:US
Practice Address - Phone:570-420-1955
Practice Address - Fax:570-424-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain