Organization Active NPI

Advanced Pain Management of North Jersey LLC

  • Anesthesiology Physician
  • Pompton Lakes, NJ
National Provider Identifier
1346403631
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ADVANCED PAIN MANAGEMENT OF NORTH JERSEY LLC
Practice address
55 Wanaque Ave
Suite 134
Pompton Lakes, NJ 07442-2085
Phone
(201) 644-7700
Fax
(201) 644-7195
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Mindy Nestampower, MDNPI 1851476626
Title
Owner
Phone
(201) 644-7700

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

55 Wanaque Ave
Suite 134
Pompton Lakes, NJ 07442-2085

Mailing address

55 Wanaque Ave Ste 134
Pompton Lakes, NJ 07442-2085
Phone (201) 644-7700

National Provider Directory

National Provider Directory

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": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1346403631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WANAQUE AVE STE 134",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422085",
            "telephone_number": "201-644-7700",
            "fax_number": "201-644-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WANAQUE AVE",
            "address_2": "SUITE 134",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422085",
            "telephone_number": "201-644-7700",
            "fax_number": "201-644-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT OF NORTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "NESTAMPOWER",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-644-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.