Active NPI
New Jersey Advanced Pain Management Center
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Parsippany, NJ
National Provider Identifier
1134420813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MA07877200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ajay Kumar, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Watchung, NJ
- NPI 1871545111
NJ, Pain Medicine
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
- Nayanesh K. Shah, D.D.S., LLC
- Neev 316 LLC
- Heather Dawn Neidle, PA-C
- New Chapter Faith Based Recovery
- New Horizons Counseling & Wellness
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
- New Jersey Hyperbaric Oxygen
- New Jersey Hyperbaric Oxygen Therapy, Inc.
- New Jersey Podiatric Physicians & Surgeons Group, LLC
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.