GARDEN STATE SPINE AND PAIN CENTERS (NPI# 1861887630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861887630 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE SPINE AND PAIN CENTERS |
| Practice Address |
1010 Clifton Ave Suite 203 Clifton NJ 07013-3519 |
| Mailing Address |
1 Treetop Ct Berkeley Heights NJ 07922-2531 |
| Practice Telephone | 8623359696 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | SUKDEB DATTA (PRESIDENT) |
| Authorized Official Telephone | 6154794692 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
25MA08823500 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1010 CLIFTON AVE SUITE 203 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346253739 | Wayne Mitchell Berman | Dentist | 1010 Clifton Ave, Clifton, NJ 07013-3519 | 2006-08-15 |
| 1902240104 | Allied Rehab Care Specialists, LLC | Clinic/Center | 1010 Clifton Ave, 2nd Fl, Clifton, NJ 07013 | 2013-04-18 |
| 1003905407 | David Mitchell Press | Dentist | 1010 Clifton Ave, Clifton, NJ 07013-3519 | 2006-10-12 |
| 1811084700 | Theodore F Jasper M.d. P.C. | Psychiatry & Neurology | 1010 Clifton Ave, Clifton, NJ 07013 | 2006-10-10 |
| 1528171972 | Theodore F Jasper | Psychiatry & Neurology | 1010 Clifton Ave, Clifton, NJ 07013 | 2006-08-17 |
| 1104839513 | David M. Press, Dmd Pa | Dentist | 1010 Clifton Ave, Clifton, NJ 07013-3519 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194807255 | Jadan H Abbassi | Clinic/Center | 1618 Main Ave, Clifton, NJ 07011-2112 | 2006-10-19 |
| 1134513260 | Main Avenue Clifton Surgery Center, LLC | Clinic/Center | 1084 Main Ave, Clifton, NJ 07011-2330 | 2015-03-26 |
| 1376973206 | Ddd Neurology & Electrodiagnostics Pllc | Clinic/Center | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821630286 | Fresh Start Medical Center Inc. | Clinic/Center | 317 Cleveland Ave Fl 1, Highland Park, NJ 08904-1817 | 2019-10-16 |
| 1407342728 | Golden Holistic Treatment Center | Clinic/Center | 6809 Bergenline Ave, West New York, NJ 07093-1807 | 2018-07-10 |
| 1396235990 | The Peace Within Spa & | Clinic/Center | 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 | 2018-05-18 |
| 1780174136 | Edison Spine & Pain Center LLC | Clinic/Center | 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 | 2018-05-11 |
| 1598279218 | Spine Institute of North America LLC | Clinic/Center | 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 | 2017-11-17 |
| 1245776582 | Jennifer Arango | Clinic/Center | 139 77th St, North Bergen, NJ 07047-5836 | 2017-01-10 |
| 1457896003 | Revive Spine and Pain Center | Clinic/Center | 515 South Broad St, Ste 201, Trenton, NJ 08611 | 2017-01-05 |
| 1043764269 | Interventional Pain and Spine Institute Inc | Clinic/Center | 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 | 2016-08-04 |
| 1003279506 | Advanced Spine and Pain Center LLC | Clinic/Center | 1060 Broad Street, Newark, NJ 07102 | 2016-04-01 |
| 1972978765 | Riverside Pain Management LLC | Clinic/Center | 1025 Maxwell Ln Apt 515, Hoboken, NJ 07030-6825 | 2015-12-06 |
| 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.