Provider Demographics
NPI:1457740995
Name:CAREONE PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:CAREONE PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JINGHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:XIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:781-864-3954
Mailing Address - Street 1:288 SAYRE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-5859
Mailing Address - Country:US
Mailing Address - Phone:781-864-3954
Mailing Address - Fax:866-236-9918
Practice Address - Street 1:288 SAYRE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-5859
Practice Address - Country:US
Practice Address - Phone:781-864-3954
Practice Address - Fax:866-236-9918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03913173Medicaid
NJNB0362786Medicaid
NJNB0362786Medicaid