Active NPIOrganization

Professional Pain Management Services PA

Pain Medicine, Interventional Pain Medicine in Clifton, New Jersey

NPI Number1194036111
Practice location
1060 Clifton Ave, Clifton, NJ 07013-3638
Fax
973-779-7385
Last updated
June 24, 2010

Professional Pain Management Services PA is a healthcare organization based in Clifton, NJ. Professional Pain Management Services PA practices in Clifton, NJ. The NPI Number for Professional Pain Management Services PA is 1194036111 and holds a License No. 25MA06850700 (NJ). The current practice location address for Professional Pain Management Services PA is 1060 Clifton Ave, Clifton, NJ 07013-3638 and can be reached out via phone at 973-779-7361 and via fax at 973-779-7385.

Provider Profile Details

NPI Number
1194036111
Provider Name
Professional Pain Management Services PA
Provider Entity Type
Organization
Address
1060 Clifton Ave, Clifton, NJ 07013-3638
Phone Number
973-779-7361
Fax Number
973-779-7385
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Organization Subpart
No
Authorized Official
Dr. Ravi K Venkataraman, MD · Ceo · 973-779-7361
Provider Enumeration Date
June 24, 2010
Last Update Date
June 24, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Clifton Ave
Clifton, NJ 07013-3638
Zip
07013-3638
Phone Number
973-779-7361
Fax Number
973-779-7385
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
Po Box 1258
Clifton, NJ 07012-0758
City
Clifton
State
NJ
Zip
07012-0758
Phone Number
973-779-7361
Fax Number
973-779-7385

License Information

License Number
25MA06850700
License State
NJ
Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pain Medicine, Interventional Pain Medicine providers near Clifton, NJ

View all Pain Medicine, Interventional Pain Medicine providers in Clifton →

Frequently Asked Questions

What is the NPI number of Professional Pain Management Services PA?

The NPI number of Professional Pain Management Services PA is 1194036111. It was assigned on June 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Professional Pain Management Services PA?

Professional Pain Management Services PA is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in NJ under license number 25MA06850700.

Where does Professional Pain Management Services PA practice?

The practice location is 1060 Clifton Ave, Clifton, NJ 07013-3638. The office can be reached at 973-779-7361 (phone) or 973-779-7385 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194036111 directly on the NPPES registry website.

Browse related providers