Seckin Pain Management, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SECKIN PAIN MANAGEMENT, LLC

Practice address

20 Prospect Ave
Suite 602
Hackensack, NY 10960-1096

Phone

(201) 809-3000

Fax

(201) 809-3300

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ali Inanc Seckin, MD MBANPI 1497738801

Title

Owner

Phone

(201) 780-1511

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY3 enrollments

Enrollment records 3

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFCICD

Practitioners 3

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

• Ali Inanc Seckin, MD

  • Anesthesiology Physician
  • Ramsey, NJ
  • NPI 1497738801

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Rodion Erenburg, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ramsey, NJ
  • NPI 1013306901
  Medicare reassignment Care Compare group NPD
• Carletta J Lindie-Fowlkes, PA-C

  • Physician Assistant
  • Rochelle Park, NJ
  • NPI 1619185634
  Medicare reassignment

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1437888971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOMPKINS CT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601225",
            "telephone_number": "201-780-1511",
            "fax_number": "201-809-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 602",
            "city": "HACKENSACK",
            "state": "NY",
            "postal_code": "109601096",
            "telephone_number": "201-809-3000",
            "fax_number": "201-809-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECKIN PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "SECKIN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "INANC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-780-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BSD Nephrology and Hypertension PA
• Elizabeth Kiselak, MD

• Interventional Pain Medicine Physician in Hackensack, NY
• Providers in Hackensack, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.