MEDICARE: CAREONE PAIN MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457740995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREONE PAIN MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	288 SAYRE DR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-5859
Country	:	US
Telephone Number	:	781-864-3954
Fax Number	:	866-236-9918

Provider Business Practice Location Address
First Line	:	288 SAYRE DR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-5859
Country	:	US
Telephone Number	:	781-864-3954
Fax Number	:	866-236-9918

Authorized Official
Title or Position	:	OWNER, PHYSICIAN
Name	:	DR. JINGHUI XIE
Credential	:	MD, PHD
Telephone Number	:	781-864-3954

Provider Enumeration Date	:	01/21/2015
Last Update Date	:	06/06/2015

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Directions to “CAREONE PAIN MANAGEMENT LLC ” Practice Location

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