Pain and Rehabilitation Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA07973200 Issued in NJ

Legal business name

PAIN AND REHABILITATION MEDICINE LLC

Practice address

223 N Van Dien Ave
Ridgewood, NJ 07450-2726

Phone

(201) 690-6122

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Beena S Balakrishnan, MDNPI 1417065061

Title

Owner

Phone

(201) 690-6122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Beena S Balakrishnan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Ridgewood, NJ
  • NPI 1417065061
  Medicare reassignment NPD Authorized official
• Scott David Lippe, MD

  • Gastroenterology Physician
  • Paramus, NJ
  • NPI 1992766844
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1417193285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076420422",
            "telephone_number": "201-690-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502726",
            "telephone_number": "201-690-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND REHABILITATION MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "BALAKRISHNAN",
        "authorized_official_first_name": "BEENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-690-6122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA07973200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Space Northeast
• Teresa Owens, MA, ATR-BC, CGP
• Anthony Pacione, PA-C
• Kapila V Paghdal, MD
• Paige Applebaum Farkas MD PA
• Jessy R Palamattam, M.D.
• Jeanne E Palazzo, LCSW
• Nina R Paleologos, LCSW
• John Palmer
• Nicholas D. Panagiotou, M.D, PH.D., M.S.

• Physical Medicine & Rehabilitation Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.