Pain Management & Rejuvenation Clinic USA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN MANAGEMENT & REJUVENATION CLINIC USA

Practice address

1209 Summit Ave Unit 102
Jersey City, NJ 07307-3170

Phone

(201) 714-4683

Fax

(201) 742-0084

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Claricio Decastro Peguero, MD

Title

Owner

Phone

(551) 204-2543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Claricio Decastro Peguero, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1841204211

  NJ, Pain Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1043965163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ORANGEBURGH RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757499",
            "telephone_number": "201-714-4683",
            "fax_number": "201-742-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SUMMIT AVE UNIT 102",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073170",
            "telephone_number": "201-714-4683",
            "fax_number": "201-742-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & REJUVENATION CLINIC USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "PEGUERO",
        "authorized_official_first_name": "CLARICIO",
        "authorized_official_middle_name": "DECASTRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-204-2543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia R. Pagulayan, M.D.
• Linsey Francesca Paik, L.AC
• Pain and Disability Institute, P.C
• Pain and Disability Institute, P.C.
• Pain and Disability Institute,PC
• Pain Management Consulting Group
• Pain Management of New Jersey Inc
• Nancy Pain, APN
• Carol Pak-Teng, M.D.
• Gianfranco Palangio, ATC

• Pain Medicine (Anesthesiology) Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.