Provider Demographics
NPI:1154025153
Name:PRECISION PAIN & SPINE INSTITUTE LLC
Entity type:Organization
Organization Name:PRECISION PAIN & SPINE INSTITUTE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKHOLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-800-0042
Mailing Address - Street 1:127 GRAYSON DR
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4932
Mailing Address - Country:US
Mailing Address - Phone:732-800-0042
Mailing Address - Fax:
Practice Address - Street 1:107 CEDAR GROVE LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4719
Practice Address - Country:US
Practice Address - Phone:732-800-0042
Practice Address - Fax:732-515-4000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION PAIN & SPINE INSTITUTE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-27
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Single Specialty