Organization Active NPI

Totowa Center for Pain Management & Physical Medicine,P.C.

  • Multi-Specialty Clinic/Center
  • Totowa, NJ
National Provider Identifier
1265644363
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TOTOWA CENTER FOR PAIN MANAGEMENT & PHYSICAL MEDICINE,P.C.
Practice address
290 Union Blvd Ste 1
Totowa, NJ 07512-2610
Phone
(973) 720-1700
Fax
(973) 720-1701
NPI assigned
May 3, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Claudia Nieves
Title
Office Manager
Phone
(973) 720-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NJ Primary

Addresses

Primary practice location

290 Union Blvd Ste 1
Totowa, NJ 07512-2610

Mailing address

290 Union Blvd Ste 1
Totowa, NJ 07512-2610
Phone (973) 720-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000305 NJ Part B Supplier - Clinic/Group Practice 5890740005 Receives reassigned benefits from 3 practitioners
Practice locations: Totowa, NJ

National Provider Directory

National Provider Directory

Locations

290 Union Blvd
Ste 1
Totowa, NJ 07512
Phone (973) 720-1700

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265644363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD STE 1",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-720-1700",
            "fax_number": "973-720-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD STE 1",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-720-1700",
            "fax_number": "973-720-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTOWA CENTER FOR PAIN MANAGEMENT & PHYSICAL MEDICINE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-720-1700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.