Organization Active NPI

Northern Jersey Interventional Pain Specialist PC

  • Specialist
  • Secaucus, NJ
National Provider Identifier
1346319431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07127500 Issued in NJ
Legal business name
NORTHERN JERSEY INTERVENTIONAL PAIN SPECIALIST PC
Practice address
714 10TH St
Suite 6a
Secaucus, NJ 07094-2921
Phone
(201) 974-1541
Fax
(201) 974-1581
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amrish Patel, MDNPI 1689683542
Title
President
Phone
(201) 974-1541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07127500 NJ Primary

Addresses

Primary practice location

714 10TH St
Suite 6a
Secaucus, NJ 07094-2921

Mailing address

714 10TH St
Suite 6a
Secaucus, NJ 07094-2921
Phone (201) 974-1541

Other identifiers 1

IdentifierTypeStateIssuer
1689683542OtherNJNPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

Locations

210 Meadowlands Pkwy
Ste 4
Secaucus, NJ 07094
Phone (201) 348-3636

714 10th St
Ste 6A
Secaucus, NJ 07094
Phone (201) 974-1541

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346319431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "address_2": "SUITE 6A",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "201-974-1541",
            "fax_number": "201-974-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "address_2": "SUITE 6A",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "201-974-1541",
            "fax_number": "201-974-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN JERSEY INTERVENTIONAL PAIN SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMRISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-974-1541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07127500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1689683542",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.