Provider Demographics
NPI:1730472895
Name:NEUROLOGY & PAIN MANAGEMENT CENTER INC
Entity Type:Organization
Organization Name:NEUROLOGY & PAIN MANAGEMENT CENTER INC
Other - Org Name:NEUROLOGY & PAIN TREATMENT CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALVAREZ-PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-589-1554
Mailing Address - Street 1:41 WILSON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-3214
Mailing Address - Country:US
Mailing Address - Phone:973-589-1554
Mailing Address - Fax:973-589-4079
Practice Address - Street 1:41 WILSON AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-3214
Practice Address - Country:US
Practice Address - Phone:973-589-1554
Practice Address - Fax:973-589-4079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty