Tristate Pain Consultants, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MA08075700 Issued in NJ

Legal business name

TRISTATE PAIN CONSULTANTS, PC

Practice address

33 Clyde Rd
105
Somerset, NJ 08873-5032

Phone

(917) 749-5701

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Chinweike Izeogu, MD

Title

Medical Director

Phone

(917) 749-5701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1447637632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLYDE RD",
            "address_2": "105",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLYDE RD",
            "address_2": "105",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735032",
            "telephone_number": "917-749-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PAIN CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "IZEOGU",
        "authorized_official_first_name": "CHINWEIKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-749-5701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08075700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred J Tria Jr., MD
• Trinity Physical Therapy LLC
• Trinity Rehab Somerset PA
• Rachnaben Tripathi, CALA
• Trupti Tripathi
• William Tronolone, M.D.
• True Vine Health Care Solutions LLP
• Truecare Physical Therapy
• Henry K Tsai, M.D.
• Wellington Shu-Tin Tsai, DMD

• Interventional Pain Medicine Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.