Organization Active NPI

Tristate Pain and Spine Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Princeton, NJ
National Provider Identifier
1205373669
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA09282300 Issued in NJ
Legal business name
TRISTATE PAIN AND SPINE MANAGEMENT LLC
Practice address
28 Courtside LN
Princeton, NJ 08540-9504
Phone
(609) 891-9984
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Rajat Sekhar, M.D
Title
Ceo/Owner
Phone
(646) 875-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA09282300 NJ Primary

Addresses

Primary practice location

28 Courtside LN
Princeton, NJ 08540-9504

Mailing address

57 Rachel CT
Franklin Park, NJ 08823-1542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1205373669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 RACHEL CT",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 COURTSIDE LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409504",
            "telephone_number": "609-891-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PAIN AND SPINE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "SEKHAR",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "646-875-1174",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09282300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.