Active NPI
Avant Guard Medical
- Pain Medicine (Anesthesiology) Physician
- Paterson, NJ
National Provider Identifier
1063866259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 252899
- Legal business name
- AVANT GUARD MEDICAL
- Practice address
- 1040 Main St
FL 3
Paterson, NJ 07503-2212 - Phone
- (888) 233-3415
- Fax
- (888) 250-6364
- NPI assigned
- Apr 14, 2016
- Last updated
- Apr 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ednan Sheikh, M.D
- Title
- Pain Management Specialist
- Phone
- (215) 593-5484
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 252899 | NY | Primary |
Addresses
Primary practice location
1040 Main St
FL 3
Paterson, NJ 07503-2212
Mailing address
1040 Main St
FL 3
Paterson, NJ 07503-2212
Phone (888) 233-3415
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Clifton, NJ
- NPI 1013128016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460592000000",
"number": "1063866259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 MAIN ST",
"address_2": "FL 3",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032212",
"telephone_number": "888-233-3415",
"fax_number": "888-250-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MAIN ST",
"address_2": "FL 3",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032212",
"telephone_number": "888-233-3415",
"fax_number": "888-250-6364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANT GUARD MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-14",
"last_updated": "2016-04-14",
"status": "A",
"authorized_official_last_name": "SHEIKH",
"authorized_official_first_name": "EDNAN",
"authorized_official_title_or_position": "PAIN MANAGEMENT SPECIALIST",
"authorized_official_telephone_number": "215-593-5484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "252899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.