Pain & Surgery Ambulatory Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PAIN & SURGERY AMBULATORY CENTER

Practice address

461 Goffle Rd
Wyckoff, NJ 07481-3003

Phone

(201) 689-6262

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Leslie Folusiak

Title

Administrator

Phone

(201) 689-6262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407977820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813003",
            "telephone_number": "201-689-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813003",
            "telephone_number": "201-689-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & SURGERY AMBULATORY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOLUSIAK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-689-6262"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ny NJ Anesthesia LLC
• Charizza Olegario, PT
• Joseph Anthony Oliveri Sr., R. P.
• Optimal Nutrition Solutions of NJ, LLC
• Osteopathic Family Medicine of Northern NJ LLC
• Valentina Pampulevski, PHARMD
• Dishaben Patel, DPT
• Juhi Patel
• Lady Cynthia S Patio, O.T.
• Aziza Pennington

• Pain Clinic/Center in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Pain Clinic/Center in New Jersey

• 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.