NPIMap

Organization Active NPI

New Jersey Pain Consultants PC

  • Specialist
  • Morristown, NJ
National Provider Identifier
1366448979
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW JERSEY PAIN CONSULTANTS PC
Practice address
310 Madison Ave
Suite 301
Morristown, NJ 07960-6967
Phone
(973) 998-9200
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Michael E Rudman, MD
Title
President
Phone
(973) 971-6824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X NJ

Addresses

Primary practice location

310 Madison Ave
Suite 301
Morristown, NJ 07960-6967

Mailing address

PO Box 24004
Newark, NJ 07101-0406
Phone (201) 804-2800

Other identifiers 1

IdentifierTypeStateIssuer
8122709MedicaidNJ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

175 Morristown Rd
Ste 102
Basking Ridge, NJ 07920
Phone (908) 652-1290

175 Morristown Rd
Basking Ridge, NJ 07920
Phone (301) 982-2000

4 Industrial Way W
Lowr
Eatontown, NJ 07724
Phone (732) 440-8903

60 Columbia Rd
Ste 2A
Morristown, NJ 07960

60A Columbia Rd
Morristown, NJ 07960
Phone (973) 845-2500

310 Madison Ave
Ste 301
Morristown, NJ 07960
Phone (973) 971-6824

127 E Ridgewood Ave
Ste 105
Ridgewood, NJ 07450
Phone (973) 998-9200

601 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 238-0700

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1366448979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24004",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071010406",
            "telephone_number": "201-804-2800",
            "fax_number": "201-804-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 301",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-998-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PAIN CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "RUDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-971-6824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8122709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.