Provider Demographics
NPI:1851663355
Name:UNION CITY SPINE AND PAIN ASSOCIATES, LLC
Entity Type:Organization
Organization Name:UNION CITY SPINE AND PAIN ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:NARCISO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-866-2130
Mailing Address - Street 1:510 43RD ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2612
Mailing Address - Country:US
Mailing Address - Phone:201-866-2130
Mailing Address - Fax:201-863-0234
Practice Address - Street 1:510 43RD ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2612
Practice Address - Country:US
Practice Address - Phone:201-866-2130
Practice Address - Fax:201-863-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00529900111N00000X
NJ25MA08548700208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty