OrganizationActive
Origin Medical Group LLC
NPI 1417898727 · Interventional Pain Medicine Physician · Wayne, NJ
Provider details
- NPI number
- 1417898727
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amir Issa, Owner(973) 310-5497
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Hamburg Tpke Ste 310
Wayne, NJ 07470-2139
Phone: (973) 310-5497
Fax: (862) 298-0729
Street-level locationGet directions
Mailing address
189 Berdan Ave Unit 171
Wayne, NJ 07470-3233
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.