Midland Anesthesia and Pain Management, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB07566200 Issued in NJ

Legal business name

MIDLAND ANESTHESIA AND PAIN MANAGEMENT, PC

Practice address

190 Midland Ave
Saddle Brook, NJ 07663-6408

Phone

(973) 685-7121

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By 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

Dr. Roman Kosiborod, M.D, D.O

Title

Doctor

Phone

(973) 685-7121

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Stefan Trnovski, M.D.

  • Interventional Pain Medicine Physician
  • Clifton, NJ
  • NPI 1902832991
  NPD (past)
• Alexander Zhuravkov, M.D.

  • Interventional Pain Medicine Physician
  • Township of Washington, NJ
  • NPI 1306881784
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1275786816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8084",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076638084",
            "telephone_number": "973-685-7121",
            "fax_number": "973-246-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636408",
            "telephone_number": "973-685-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND ANESTHESIA AND PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "KOSIBOROD",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-685-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, D.O"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB07566200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Practitioners of Northern New Jersey Inc
• Medscan Medical PC
• Demetri G Meimaris, DC
• Sergio Mejia, PT, DPT
• Clara Mae Mercado
• Adel Mikhail
• Lyudmila Milov, O.D.
• Elizabeth Fabiana Moati
• Mohammed El-Sayed Mohammed
• Phillip Mollica, DMD

• Specialist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.