JERSEY ANESTHESIA & PAIN MANAGEMENT CONSULTANTS, LLC (NPI# 1669619706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669619706 |
| Entity Type | Organization |
| Organization Name | JERSEY ANESTHESIA & PAIN MANAGEMENT CONSULTANTS, LLC |
| Practice Address |
940 Amboy Ave Suite 104-a Edison NJ 08837-2869 |
| Practice Telephone | 7327383963 |
| Practice Fax Number | 7327383965 |
| Mailing Telephone | 7327383963 |
| Mailing Fax Number | 7327383965 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | DR. ALEXANDER KLYASHTORNY (OWNER) |
| Authorized Official Telephone | 7327383963 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA06926200 | NJ | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JERSEY ANESTHESIA & PAIN MANAGEMENT CONSULTANTS, LLC | 940 Amboy Ave Ste 104a, Edison, NJ 08837-2897 |
| Street Address |
940 AMBOY AVE SUITE 104-A |
| City | EDISON |
| State | NJ |
| Zip Code | 08837-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417996836 | Alexander Klyashtorny | Anesthesiology | 940 Amboy Ave, Ste 104-a, Edison, NJ 08837-2869 | 2006-06-05 |
| 1477863686 | Edison Optomeric | Optometrist | 940 Amboy Ave, Edison, NJ 08837-2869 | 2010-10-21 |
| 1770771693 | Gary Joseph Embley | Chiropractor | 940 Amboy Ave, Suite 103, Edison, NJ 08837-2869 | 2007-10-04 |
| 1104942879 | Douglas Jay Zimmel | Chiropractor | 940 Amboy Ave, Suite 103, Edison, NJ 08837-2811 | 2007-03-22 |
| 1245356062 | Edison Optical Corporation | Optometrist | 940 Amboy Ave, Edison, NJ 08837-2811 | 2007-03-22 |
| 1194841064 | Joseph L Papa | Optometrist | 940 Amboy Ave, Edison, NJ 08837-2811 | 2007-03-22 |
| 1609939537 | Albert E Grosso | Optometrist | 940 Amboy Ave, Edison, NJ 08837-2811 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
| 1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
| 1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
| 1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
| 1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
| Find all providers in zip 08837 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649478983 | Manisha Kaur Chahal | Anesthesiology | 10 Parsonage Rd Fl 5, Edison, NJ 08837-2429 | 2007-07-09 |
| 1174564140 | Young K. Choi | Anesthesiology | 1581 Route 27, Unit 3, Edison, NJ 08817-3477 | 2006-06-09 |
| 1417996836 | Alexander Klyashtorny | Anesthesiology | 940 Amboy Ave, Ste 104-a, Edison, NJ 08837-2869 | 2006-06-05 |
| 1801191820 | Garden State Anesthesia Management, LLC | Anesthesiology | 1692 Oak Tree Rd, Edison, NJ 08820-2853 | 2011-01-22 |
| 1285939975 | Garden State Pain Management Associates LLC | Anesthesiology | 1692 Oak Tree Rd, Edison, NJ 08820-2853 | 2011-01-11 |
| 1801062245 | Garden State Anesthesia and Pain Management Associates, LLC | Anesthesiology | 1692 Oak Tree Rd, Suite 10, Edison, NJ 08820-2853 | 2008-05-06 |
| 1457523698 | Edison Comprehensive Pain and Anesthesia LLC | Anesthesiology | 2 Lincoln Hwy, Suite100, Edison, NJ 08820-3961 | 2008-03-27 |
| 1841390804 | Lalitha Piratla | Anesthesiology | 102 James St, Edison, NJ 08820-3970 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
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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.