Professional Pain Management Services PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MA06850700 Issued in NJ

Legal business name

PROFESSIONAL PAIN MANAGEMENT SERVICES PA

Practice address

1060 Clifton Ave
Clifton, NJ 07013-3638

Phone

(973) 779-7361

Fax

(973) 779-7385

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ravi K Venkataraman, MD

Title

Ceo

Phone

(973) 779-7361

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 9

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

• Mildred Agres, MD

  • Anesthesiology Physician
  • Passaic, NJ
  • NPI 1598795577
  NPD (past)
• Benjamin George, M.D.,

  • Anesthesiology Physician
  • Passaic, NJ
  • NPI 1396702593
  NPD (past)
• David A. Holland, MD

  • Anesthesiology Physician
  • Livingston, NJ
  • NPI 1790782522
  NPD (past)
• Ai Lee, MD

  • Anesthesiology Physician
  • Passaic, NJ
  • NPI 1922038918
  NPD (past)
• Chang J Lee, MD

  • Anesthesiology Physician
  • Passaic, NJ
  • NPI 1023049533
  NPD (past)
• Manglam Narayanan, MD

  • Anesthesiology Physician
  • Paramus, NJ
  • NPI 1447280433
  NPD (past)
• Boris L Prakhina, M.D.

  • Specialist
  • Fair Lawn, NJ
  • NPI 1609087659
  NPD (past)
• Winston Saulon, MD

  • Anesthesiology Physician
  • Passaic, NJ
  • NPI 1538199542
  NPD (past)
• Juan P Giraldo, MD

  • Pain Medicine (Anesthesiology) Physician
  • Weston, FL
  • NPI 1114958626
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1194036111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070120758",
            "telephone_number": "973-779-7361",
            "fax_number": "973-779-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133638",
            "telephone_number": "973-779-7361",
            "fax_number": "973-779-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PAIN MANAGEMENT SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-779-7361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA06850700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA06850700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PRN Care LLC
• Terrell Proctor, LPC
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Progressive Hand Rehab LLC
• Todd A Prol Jr., DO
• Protective Care Ambulance LLC
• PST Wellness Center
• Psychology for New Jersey, LLC

• Interventional Pain Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.