Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Spine and Pain Center, PC

Organization Interventional Pain Medicine Physician · NPI 1801340385

Innovative Spine and Pain Center, PC is an Interventional Pain Medicine Physician in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

90 Bergen St Ste 3400
Newark, NJ 07103-2425
Phone: (973) 972-2085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 25MA08859900 (NJ)

Record details

NPI number1801340385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanny Le — Vice President · (609) 915-6865
NPI enumeratedAugust 12, 2016
Last updated in NPPESAugust 12, 2016
Mailing address4 Marcin Way, Flanders, NJ 07836-9671

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