PRIME PAINMANAGEMENT PC (NPI# 1275053563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275053563 |
| Entity Type | Organization |
| Organization Name | PRIME PAINMANAGEMENT PC |
| Practice Address |
118-126 Broad Avenue Unit 11 Palisades Park NJ 07650 |
| Mailing Address |
Po Box 350 Edgewater NJ 07020-0350 |
| Practice Telephone | 8554432544 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | JIGNYASA DESAI (OWNER) |
| Authorized Official Telephone | 2013421205 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
118-126 BROAD AVENUE UNIT 11 |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1437631371 | Catherine Jang | Pharmacist | 113 Roosevelt Pl, Palisades Park, NJ 07650 | 2018-09-06 |
| 1063911782 | Jinwoo Kim | Acupuncturist | 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 | 2018-02-08 |
| 1366836520 | George Xenakis, Dds, Palisades Park, LLC | Clinic/Center | 261a Broad Ave, Palisades Park, NJ 07650 | 2015-03-26 |
| 1245637842 | Sun Young Lee | Nurse Practitioner | 11 West Harriet Ave, Apt 102, Palisades Park, NJ 07650 | 2014-11-25 |
| 1063824290 | Daehwan Ji | Acupuncturist | 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650 | 2014-05-22 |
| 1295084739 | Minhyun Cho | Counselor | 19 E Central Blvd, Palisades Park, NJ 07650 | 2012-08-30 |
| 1255693164 | Juliana A Vasquez | Specialist | 446 7th Street, Palisades Park, NJ 07650 | 2012-06-15 |
| 1295019529 | Now Pain Clinc PC | Residential Treatment Facility, Physical Disabilities | 21 Grand Ave #502, Palisades Park, NJ 07650 | 2011-10-05 |
| 1558524462 | Julia E. Kim | Optometrist | 171 Roosevelt Place, Ground Floor, Palisades Park, NJ 07650 | 2008-07-10 |
| Find all providers in zip 07650 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053352468 | Tristate Medical Care PC | Physical Medicine & Rehabilitation | 21 Grand Ave, Suite 505, Palisades Park, NJ 07650-1076 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| 1922547199 | Manalapan Medical Associates PC | Physical Medicine & Rehabilitation | 345 Route 9, Manalapan, NJ 07726-3239 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | PALISADES PARK |
| Zip Code | 07650 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.