PALISADES REHAB AND SPINAL CARE GROUP, (NPI# 1346472321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346472321 |
| Entity Type | Organization |
| Organization Name | PALISADES REHAB AND SPINAL CARE GROUP, |
| Practice Address |
596 Anderson Ave Suite 108 Cliffside Park NJ 07010-1831 |
| Practice Telephone | 2018405888 |
| Mailing Telephone | 2018405888 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | MR. GEORGE JOHN BUSSANICH (OWNER) |
| Authorized Official Telephone | 2018405888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MB08234500 | NJ | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA06277300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 25MA04969400 | NJ | Allopathic & Osteopathic Physicians |
| N | 111N00000X | Chiropractor | 38MC00626600 | NJ | Chiropractic Providers |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA07789800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
596 ANDERSON AVE SUITE 108 |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847193 | Violet S Master | Internal Medicine | 596 Anderson Ave, 216, Cliffside Park, NJ 07010-1831 | 2006-01-31 |
| 1245696244 | Palisades Urgent Care, LLC | Clinic/Center | 596 Anderson Ave, Cliffside Park, NJ 07010-1831 | 2016-01-06 |
| 1932565983 | Palisades Rehab and Physical Therapy Center, LLC | Clinic/Center | 596 Anderson Ave, 108, Cliffside Park, NJ 07010-1831 | 2016-01-06 |
| 1457724791 | Victoria Drob | Counselor | 596 Anderson Ave, Ste 302, Cliffside Park, NJ 07010-1856 | 2015-11-09 |
| 1972937233 | Womens Special Care P.C. | Obstetrics & Gynecology | 596 Anderson Ave, Suite 302, Cliffside Park, NJ 07010-1831 | 2013-08-22 |
| 1134424914 | Huey H Cheng | Specialist/Technologist, Other | 596 Anderson Ave, Suite 203, Cliffside Park, NJ 07010-1831 | 2011-01-25 |
| 1023328267 | First-class Dental PC | Dentist | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2010-10-20 |
| 1417199100 | Sleep Lab LLC | Pediatrics | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2009-03-27 |
| 1073779047 | St Dental | Dentist | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2008-07-30 |
| 1770755639 | Metropolitan Sleep and Diagnostic Testing LLC | Internal Medicine | 596 Anderson Ave, Suite 203, Cliffside Park, NJ 07010-1831 | 2008-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 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 |
| Find all providers with the same taxonomy | ||||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
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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.