Active NPI
Pain Management and Rehabilitation, PA
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dover, DE
National Provider Identifier
1174676811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PAIN MANAGEMENT AND REHABILITATION, PA
- Practice address
- 240 Beiser Blvd
Suite 201B
Dover, DE 19904-7790 - Phone
- (302) 734-7246
- Fax
- (302) 678-8890
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 22, 2020
- 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. Ganesh R Balu, M.D.
- Title
- President
- Phone
- (302) 734-7246
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 (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
240 Beiser Blvd
Suite 201B
Dover, DE 19904-7790
Mailing address
71 Hidden Valley Dr
Newark, DE 19711-7463
Phone (302) 733-0507
National Provider Directory
National Provider DirectoryLocations
240 Beiser Blvd
Ste 201B
Dover, DE 19904
Practitioners & 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.
-
- Interventional Pain Medicine Physician
- Dover, DE
- NPI 1073594693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174676811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HIDDEN VALLEY DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117463",
"telephone_number": "302-733-0507",
"fax_number": "302-733-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 BEISER BLVD",
"address_2": "SUITE 201B",
"city": "DOVER",
"state": "DE",
"postal_code": "199047790",
"telephone_number": "302-734-7246",
"fax_number": "302-678-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT AND REHABILITATION, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALU",
"authorized_official_first_name": "GANESH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-734-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.