Organization
JERSEY PREMIER PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN T MINGOIA (MEDICAL)
(201) 436-0911
Entity
Organization
Contact information
Practice address
550 NEWARK AVE, SUITE 201, JERSEY CITY, NJ 07306-1326
(201) 386-8800
(201) 386-8801
Mailing address
550 NEWARK AVE, SUITE 201, JERSEY CITY, NJ 07306-1326
(201) 386-8800
(201) 386-8801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00473900
NJ
111N00000X
Chiropractor
38MC00645300
NJ
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/04/2022
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