Healthcare Provider Details

I. General information

NPI: 1386568129
Provider Name (Legal Business Name): ADVANCED PAIN INSTITUTE NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 PARK AVE
RUTHERFORD NJ
07070-2323
US

IV. Provider business mailing address

240 PARK AVE
RUTHERFORD NJ
07070-2323
US

V. Phone/Fax

Practice location:
  • Phone: 917-843-4181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUHEL H AHMED
Title or Position: PRESIDENT
Credential: M.D.
Phone: 917-843-4181