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Organization

Innovative Spine Care, LLC

NPI Record: ActivePhysical Medicine & Rehabilitation — Pain Medicine
NPI1952425621
Paramus, New Jersey

Provider's NPPES record last updated: April 12, 2023

Overview

Entity Type
Organization
NPI
1952425621
Primary Specialty
Physical Medicine & Rehabilitation — Pain Medicine
Practice Location
Paramus, New Jersey
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:07 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Medicine & Rehabilitation

    Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

    Taxonomy code 2081P2900X
  • Chiropractor

    Rehabilitation

    Chiropractic Providers

    Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

    Taxonomy code 111NR0400X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X

Provider-Reported License Information

Physical Medicine & Rehabilitation (New Jersey)
25MA07099100
Chiropractor (New Jersey)
25MA07099100
Internal Medicine (New Jersey)
25MA07099100
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

18 W Ridgewood Ave Fl 2

Paramus, New Jersey 07652-2333

Phone: (201) 444-0020

Other Names

  • Pure Anti Aging Medical CenterReported April 12, 2023
  • Pure Anti Aging Medical CenterReported June 21, 2012

Record Information

Enumeration Date
March 19, 2007
Provider's NPPES Record Last Updated
April 12, 2023
Certification Date
April 12, 2023
NPISignal NPPES Dataset
August 2026

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