Organization Active NPI

Cross River Pain Management PC

  • Pain Medicine (Anesthesiology) Physician
  • New Paltz, NY
National Provider Identifier
1144276742
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CROSS RIVER PAIN MANAGEMENT PC
Practice address
246 Main St
Suite 15a
New Paltz, NY 12561-1608
Phone
(845) 255-7200
Fax
(845) 255-7201
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Dr. David Gamburg, MDNPI 1134120298
Title
President
Phone
(917) 226-1776

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 (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

246 Main St
Suite 15a
New Paltz, NY 12561-1608

Mailing address

600C Lake St
Ramsey, NJ 07446-1360
Phone (917) 226-1776

Other practice location 1

140 N Rte 17 Ste 105
Paramus, NJ 07652-2815
Phone (201) 834-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040716000084 NY Part B Supplier - Clinic/Group Practice 7416936109 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NY; Newburgh, NY
O20070718000534 NJ Part B Supplier - Clinic/Group Practice 7416936109 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

37 W Century Rd
Ste 101
Paramus, NJ 07652
Phone (201) 634-9000

160 Union Blvd
Ste 3
Totowa, NJ 07512
Phone (973) 790-0090

246 Main St
New Paltz, NY 12561
Phone (800) 652-3116

Practitioners & affiliated clinicians

Practitioners 7

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1144276742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600C LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461360",
            "telephone_number": "917-226-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MAIN ST",
            "address_2": "SUITE 15A",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611608",
            "telephone_number": "845-255-7200",
            "fax_number": "845-255-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Rte 17 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522815",
            "country_code": "US",
            "telephone_number": "201-834-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSS RIVER PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "GAMBURG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-226-1776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.