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PHYSICAL MEDICINE AND ELECTRODIAGNOSIS LLC NPI 1164690061


NPI Information

NPI: 1164690061
Provider Name: PHYSICAL MEDICINE AND ELECTRODIAGNOSIS LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2932 ROUTE 10 WEST
MORRIS PLAINS, NJ
ZIP 07950
Phone: (973) 998-6487
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PHYSICAL MEDICINE AND ELECTRODIAGNOSIS LLC is a pain medicine physical medicine rehabilitation in Morris Plains, NJ. The provider is 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. PHYSICAL MEDICINE AND ELECTRODIAGNOSIS LLC NPI is 1164690061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2932 ROUTE 10 WEST
MORRIS PLAINS, NJ
ZIP 07950
Phone: (973) 998-6487
Fax: (973) 998-6491

The provider's authorized official is Joseph P. Kalyoussef .
The authorized official title is Office Manager and has the following contact phone number (973) 998-6487.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain Medicine50117NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1146353MEDICARE PINNEW JERSEY
2D93291MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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