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

Origin Medical Group LLC

Organization Interventional Pain Medicine Physician · NPI 1417898727

Origin Medical Group LLC is an Interventional Pain Medicine Physician in Wayne, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

401 Hamburg Tpke Ste 310
Wayne, NJ 07470-2139
Phone: (973) 310-5497
Fax: (862) 298-0729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1417898727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amir Issa — Owner · (973) 310-5497
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address189 Berdan Ave Unit 171, Wayne, NJ 07470-3233