Impar Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

234628 Issued in MA

Legal business name

IMPAR CORPORATION

Practice address

178 Westerly Rd
Plymouth, MA 02360-4535

Phone

(914) 715-2171

Fax

(774) 283-9874

NPI assigned

Feb 24, 2011

Last updated

Feb 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian Rivera, MD

Title

President

Phone

(914) 715-2171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1225335417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WESTERLY RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604535",
            "telephone_number": "914-715-2171",
            "fax_number": "774-283-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 WESTERLY RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604535",
            "telephone_number": "914-715-2171",
            "fax_number": "774-283-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-715-2171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "234628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Interventional Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.