NPIMap

Organization Active NPI

Pain and Neuropathy Center of PA PC

Doing business as Neuropathy and Back Institute of New York

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Port Jervis, NY
National Provider Identifier
1053749416
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MA07877200 Issued in NJ
Legal business name
PAIN AND NEUROPATHY CENTER OF PA PC
Doing business as
Neuropathy and Back Institute of New York
Practice address
181 Jersey Ave
Port Jervis, NY 12771-2609
Phone
(973) 917-3800
Fax
(732) 228-7427
NPI assigned
Oct 23, 2013
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PAIN AND NEUROPATHY CENTER OF PA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Dr. Ajay Kumar, M.D.
Title
President
Phone
(973) 917-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 25MA07877200 NJ Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X MD423585 PA

Addresses

Primary practice location

181 Jersey Ave
Port Jervis, NY 12771-2609

Mailing address

181 Jersey Ave
Port Jervis, NY 12771-2609
Phone (973) 917-3800

Other names 1

  • Neuropathy and Back Institute of New York Doing business as

National Provider Directory

National Provider Directory
Part of
Pain and Neuropathy Center of PA PC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1053749416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 JERSEY AVE",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712609",
            "telephone_number": "973-917-3800",
            "fax_number": "732-228-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 JERSEY AVE",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712609",
            "telephone_number": "973-917-3800",
            "fax_number": "732-228-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND NEUROPATHY CENTER OF PA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN AND NEUROPATHY CENTER OF PA PC",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-917-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA07877200",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD423585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropathy and Back Institute of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.