Provider Demographics
NPI:1588444160
Name:DYNAMIC PAIN SOLUTIONS LLC
Entity type:Organization
Organization Name:DYNAMIC PAIN SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:MAYSON
Authorized Official - Last Name:SCIANNI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-600-9946
Mailing Address - Street 1:3049 JOHN F KENNEDY BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3682
Mailing Address - Country:US
Mailing Address - Phone:201-222-6042
Mailing Address - Fax:201-222-5194
Practice Address - Street 1:3049 JOHN F KENNEDY BLVD FL 1
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3682
Practice Address - Country:US
Practice Address - Phone:201-222-6042
Practice Address - Fax:201-222-5194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty