OrganizationActive
Advanced Interventional Pain Management Center, LLC
NPI 1205227030 · Pain Clinic/Center · Old Bridge, NJ
Provider details
- NPI number
- 1205227030
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Keta Patel, Practice Manager
- License
- 25MP00356700 (NJ)
Practice location
26 Throckmorton Ln
Second Floor
Old Bridge, NJ 08857-2520
Phone: (732) 952-5533
Fax: (732) 707-4732
Mailing address
26 Throckmorton Ln
Old Bridge, NJ 08857-2520
Registry dates
- Enumerated
- 2015-02-16
- Last updated
- 2015-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.