Provider Demographics
NPI:1750036760
Name:NJ ORTHO & PAIN PC
Entity Type:Organization
Organization Name:NJ ORTHO & PAIN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-499-9062
Mailing Address - Street 1:2204 MORRIS AVE STE L4
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5914
Mailing Address - Country:US
Mailing Address - Phone:908-499-9062
Mailing Address - Fax:866-420-3319
Practice Address - Street 1:2204 MORRIS AVE STE L4
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5914
Practice Address - Country:US
Practice Address - Phone:908-499-9062
Practice Address - Fax:866-420-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00OtherHEALTH INSURANCE PIP INSURANCE