Core Medical Group, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CORE MEDICAL GROUP, LLC

Practice address

256 Stuyvesant Ave Ste B
Lyndhurst, NJ 07071-1833

Phone

(201) 729-0001

Fax

(201) 729-0006

NPI assigned

Nov 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Kang, MD

Title

Managing Member

Phone

(917) 565-9950

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdip Desai, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Belleville, NJ
  • NPI 1194761593
  Medicare reassignment Care Compare group NPD
• Harry Maroulakos, D.C.

  • Chiropractor
  • Clifton, NJ
  • NPI 1205801750
  Medicare reassignment Care Compare group NPD
• Shelly Sharma, M.D.

  • Interventional Pain Medicine Physician
  • Aberdeen, NJ
  • NPI 1538465760
  Medicare reassignment Care Compare group NPD
• Yevgeniya Gartshteyn, M.D.

  • Rheumatology Physician
  • New York, NY
  • NPI 1962794909

  NJ

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1003328824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 STUYVESANT AVE STE B",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711833",
            "telephone_number": "201-729-0001",
            "fax_number": "201-729-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 STUYVESANT AVE STE B",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711833",
            "telephone_number": "201-729-0001",
            "fax_number": "201-729-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-565-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardely J Concepcion, SPECIAL EDUCATOR
• Dominic Concepcion, MT
• Contour Chiropractic LLC
• Lakeesha Daniella Conyers, LAC
• James Michael Cooney, L.C.S.W.
• Core Surgery Center LLC
• Felipe R Cortes
• Thomas Anthony Crangle, LCSW
• Jennifer Lee Crawford, MPA-C
• Nicole M Cristello, M.S., BCBA

• Interventional Pain Medicine Physician in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.