PAIN MANAGEMENT MEDICAL ASSOCIATES LLC NPI 1558675645

NPI Information

NPI: 1558675645
Provider Name: PAIN MANAGEMENT MEDICAL ASSOCIATES LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1060 CLIFTON AVE
CLIFTON, NJ
ZIP 07013
Phone: (973) 779-7361
Get Directions

PAIN MANAGEMENT MEDICAL ASSOCIATES LLC is an interventional pain medicine pain medicine in Clifton, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PAIN MANAGEMENT MEDICAL ASSOCIATES LLC NPI is 1558675645. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1060 CLIFTON AVE
CLIFTON, NJ
ZIP 07013-638
Phone: (973) 779-7361
Fax: (973) 779-7385

The provider's authorized official is Ravi K Venkataraman .
The authorized official title is Ceo and has the following contact phone number (973) 779-7361.

The enumeration date for this NPI number is 7/30/2010 and was last updated on 7/3/2013.

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
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	25MA06850700	NEW JERSEY	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	2065821	NEW YORK	Yes

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
1	25MA06850700	OTHER	NEW JERSEY	LICENSE
2	7787522	OTHER	NEW YORK	STATE OF NY
3	2065821	OTHER	NEW YORK	LICENSE

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

NPI Synchronization or Removal

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