Organization Active NPI

Now Pain Clinc PC

  • Physical Disabilities Residential Treatment Facility
  • Palisades Park, NJ
National Provider Identifier
1295019529
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
40QA01165400 Issued in NJ
Legal business name
NOW PAIN CLINC PC
Practice address
21 Grand Ave #502
Palisades Park, NJ 07650
Phone
(201) 941-0993
Fax
(888) 404-1323
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Sungeun KimNPI 1366615742
Title
Phyiscal Therapist
Phone
(646) 270-6313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 40QA01165400 NJ Primary

Addresses

Primary practice location

21 Grand Ave #502
Palisades Park, NJ 07650

Mailing address

21 Grand Ave #502
Palisades Park, NJ 07650
Phone (201) 941-0993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000799 NJ Part B Supplier - Clinic/Group Practice 5395911739 Receives reassigned benefits from 1 practitioner
Practice locations: Palisades Park, NJ

National Provider Directory

National Provider Directory

Locations

21 Grand Ave
#520
Palisades Park, NJ 07650

21 Grand Ave
Ste 502
Palisades Pk, NJ 07650
Phone (201) 941-0990

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1295019529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE #502",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-941-0993",
            "fax_number": "888-404-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE #502",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-941-0993",
            "fax_number": "888-404-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOW PAIN CLINC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGEUN",
        "authorized_official_title_or_position": "PHYISCAL THERAPIST",
        "authorized_official_telephone_number": "646-270-6313"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "40QA01165400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.