Organization Active NPI

New Jersey Advanced Pain Management Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Parsippany, NJ
National Provider Identifier
1134420813
Registry record updated Jan 8, 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
NEW JERSEY ADVANCED PAIN MANAGEMENT CENTER
Practice address
1081 Parsippany Blvd Ste 102
Parsippany, NJ 07054-1291
Phone
(973) 917-3800
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Ajay Kumar, MDNPI 1871545111
Title
President
Phone
(973) 917-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 25MA07877200 NJ Primary

Addresses

Primary practice location

1081 Parsippany Blvd Ste 102
Parsippany, NJ 07054-1291

Mailing address

1081 Parsippany Blvd Ste 102
Parsippany, NJ 07054-1291
Phone (973) 917-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170228001265 NJ Part B Supplier - Clinic/Group Practice 8123257979 Receives reassigned benefits from 1 practitioner
Practice locations: Parsippany, NJ; Union, NJ; Bloomfield, NJ

National Provider Directory

National Provider Directory

Locations

1081 Parsippany Blvd
Ste 102
Parsippany, NJ 07054
Phone (973) 917-3555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1134420813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 PARSIPPANY BLVD STE 102",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541291",
            "telephone_number": "973-917-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 PARSIPPANY BLVD STE 102",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541291",
            "telephone_number": "973-917-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY ADVANCED PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2014-01-08",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA07877200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.