NPIMap

Organization Active NPI

New Jersey Institute of Pain & Neurology, LLC

  • Specialist
  • Hackensack, NJ
National Provider Identifier
1184190084
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW JERSEY INSTITUTE OF PAIN & NEUROLOGY, LLC
Practice address
329 Main St
Hackensack, NJ 07601-5804
Phone
(586) 506-1996
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Ehtesham Eddin Ansari
Title
Manager
Phone
(586) 506-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

329 Main St
Hackensack, NJ 07601-5804

Mailing address

329 Main St
Hackensack, NJ 07601-5804
Phone (586) 506-1996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1184190084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015804",
            "telephone_number": "586-506-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015804",
            "telephone_number": "586-506-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY INSTITUTE OF PAIN & NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "EHTESHAM",
        "authorized_official_middle_name": "EDDIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-506-1996"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.