NPIMap

Organization Active NPI

Garden State Pain and Radiology Center, PC.

  • Specialist
  • Whiting, NJ
National Provider Identifier
1013187582
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07706000 Issued in NJ
Legal business name
GARDEN STATE PAIN AND RADIOLOGY CENTER, PC.
Practice address
1100 Route 70
Whiting, NJ 08759-1003
Phone
(732) 849-0077
Fax
(732) 849-0015
NPI assigned
Mar 11, 2008
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Dharam Pal Mann, M.D.NPI 1063463099
Title
Owner
Phone
(732) 849-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07706000 NJ Primary

Addresses

Primary practice location

1100 Route 70
Whiting, NJ 08759-1003

Mailing address

PO Box 397
Whiting, NJ 08759-0397
Phone (732) 849-0077

National Provider Directory

National Provider Directory

Locations

780 Route 37 W
Ste 110
Toms River, NJ 08755
Phone (732) 341-3500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1013187582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087590397",
            "telephone_number": "732-849-0077",
            "fax_number": "732-849-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 70",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591003",
            "telephone_number": "732-849-0077",
            "fax_number": "732-849-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PAIN AND RADIOLOGY CENTER, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DHARAM",
        "authorized_official_middle_name": "PAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-849-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07706000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.