Organization Active NPI

Saint Barnabas Outpatient Centers

Doing business as Pain Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Livingston, NJ
National Provider Identifier
1457359762
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
70786 Issued in NJ
Legal business name
SAINT BARNABAS OUTPATIENT CENTERS
Doing business as
Pain Institute
Practice address
200 S Orange Ave
Livingston, NJ 07039-5817
Phone
(973) 322-7775
Fax
(973) 322-7776
NPI assigned
Jul 11, 2005
Organization subpart
Yes
Parent organization
SAINT BARNABAS OUTPATIENT CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Mr. Gregory A. Alban
Title
Avp of Finance
Phone
(973) 322-7331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X 70786 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Livingston, NJ 07039-5817

Mailing address

1050 Galloping Hill Rd
Union, NJ 07083-7983
Phone (908) 206-2230

Other identifiers 1

IdentifierTypeStateIssuer
6817203MedicaidNJ

Other names 1

  • PAIN INSTITUTE Doing business as

National Provider Directory

National Provider Directory
Part of
St Barnabas Op Same Day

Locations

1050 Galloping Hill Rd
Ste 205
Union, NJ 07083
Phone (908) 686-1505

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1457359762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837983",
            "telephone_number": "908-206-2230",
            "fax_number": "908-206-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7775",
            "fax_number": "973-322-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BARNABAS OUTPATIENT CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT BARNABAS OUTPATIENT CENTERS",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "ALBAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AVP OF FINANCE",
        "authorized_official_telephone_number": "973-322-7331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "70786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6817203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.