Interventional Pain Medicine of New Jersey, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL PAIN MEDICINE OF NEW JERSEY, LLC

Practice address

680 Kinderkamack Rd
Oradell, NJ 07649-1600

Phone

(201) 487-7246

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Park, MDNPI 1609881978

Title

Medical Director

Phone

(201) 487-7246

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kenneth H Park, DO

  • Pain Medicine (Anesthesiology) Physician
  • Oradell, NJ
  • NPI 1609881978
  Authorized official Same address or phone
• Jeffrey Weiss, D.O.

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1346221942
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1023336377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000",
            "address_2": "CL # 4430",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954430",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491600",
            "telephone_number": "201-487-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MEDICINE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-487-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntington Learning Center
• Nicholas Ignazzi Sr.
• Imaging Center of Oradell, LLC
• Lauren Imbriani, PMHNP
• Integrative Rehabilitation Medicine PLLC
• J.L.Salizzoni MD PC
• Jeffry L Jacobs, D.O., FACOS
• Lara Jacobsen, PT
• Jae H. Myung, D.D.S., P.C.
• James W. Geuder, M.D. LLC

• Interventional Pain Medicine Physician in Oradell, NJ
• Providers in Oradell, 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 May 12, 2010; 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.