Premier Pain & Wellness, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PREMIER PAIN & WELLNESS, LLC

Practice address

145 N Franklin Tpke Ste 106
Ramsey, NJ 07446-1634

Phone

(914) 564-1982

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Madeline Rodriguez

Title

Director Patient Services

Phone

(718) 813-3493

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sathish Modugu, MD

  • Interventional Pain Medicine Physician
  • Hartsdale, NY
  • NPI 1992705859
  NPD

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1104547249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N FRANKLIN TPKE STE 106",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N FRANKLIN TPKE STE 106",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461634",
            "telephone_number": "914-564-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "DIRECTOR PATIENT SERVICES",
        "authorized_official_telephone_number": "718-813-3493"
    },
    "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": []
}

• Felicia Elaine Polcari, LPC
• Jennifer Polizotto, LCSW
• Amanda Pook, M.S. CCC-SLP
• Positive Living Psychological Services, LLC
• Ancy Susan Post, MA, PT
• Angela Rose Prestifilippo, LAC
• Preventive and Diagnostic Medical Center
• Preventive and Diagonostic Medical Center P.a.
• Shemsi Prinzivalli, LPC, CADC
• Laura Pritchard

• Interventional Pain Medicine Physician in Ramsey, NJ
• Providers in Ramsey, 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 Sep 7, 2022; 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.