Organization Active NPI

Northern New Jersey Spine and Rehabilitation LLC

  • Pain Medicine (Anesthesiology) Physician
  • Jersey City, NJ
National Provider Identifier
1447800271
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NORTHERN NEW JERSEY SPINE AND REHABILITATION LLC
Practice address
100 Town Square PL Ste 405
Jersey City, NJ 07310-2778
Phone
(888) 589-8550
Fax
(201) 604-6571
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Haroon ChaudhryNPI 1881792919
Title
President
Phone
(888) 589-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

100 Town Square PL Ste 405
Jersey City, NJ 07310-2778

Mailing address

PO Box 22793
New York, NY 10087-2793
Phone (201) 484-7620

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNJNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hc@xenonhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223000182 NJ Part B Supplier - Clinic/Group Practice 7315381860 Receives reassigned benefits from 6 practitioners
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

1308 Morris Ave
Ste 101
Union, NJ 07083
Phone (908) 687-8538

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1447800271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22793",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872793",
            "telephone_number": "201-484-7620",
            "fax_number": "201-484-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWN SQUARE PL STE 405",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102778",
            "telephone_number": "888-589-8550",
            "fax_number": "201-604-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW JERSEY SPINE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-589-8550"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hc@xenonhealth.com",
            "affiliation": "N",
            "endpointDescription": "Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "571 Central Ave Ste 112",
            "city": "New Providence",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079741547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.