Organization Active NPI

Relevium Pain and Vein LLC

  • Pain Medicine (Anesthesiology) Physician
  • East Stroudsburg, PA
National Provider Identifier
1487428397
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
RELEVIUM PAIN AND VEIN LLC
Practice address
296 E Brown St Ste D
East Stroudsburg, PA 18301-3011
Phone
(973) 200-4695
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Mariam Salisu, MDNPI 1821484213
Title
Chief Operating Officer
Phone
(570) 445-2200

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X

Addresses

Primary practice location

296 E Brown St Ste D
East Stroudsburg, PA 18301-3011

Mailing address

296 E Brown St Ste D
East Stroudsburg, PA 18301-3011
Phone (570) 445-2200

Other practice location 1

2035 Hamburg Tpke Ste B
Wayne, NJ 07470-6251
Phone (973) 200-4695

Other names 2

  • MVM Health LLC Doing business as
  • MVM Health Pain Vein and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250808003580 PA Part B Supplier - Clinic/Group Practice 1355849365 Receives reassigned benefits from 6 practitioners
Practice locations: Allentown, PA; Bethlehem, PA; East Stroudsburg, PA; Reading, PA; Wayne, PA
O20251113003141 PA DME Supplier - Physician - Interventional Pain ManagementDME Supplier - Physician - Anesthesiology 1355849365 Practice locations: East Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

12 US Highway 9
Ste 108
Morganville, NJ 07751
Phone (732) 858-6638

181 New Rd
Ste 201
Parsippany, NJ 07054
Phone (201) 366-6256

16 US Highway 206
Ste C
Stanhope, NJ 07874
Phone (908) 852-3301

2045 Westgate Dr
Ste 303
Bethlehem, PA 18017

296 E Brown St
Ste D
East Stroudsburg, PA 18301
Phone (570) 424-2001

296 E Brown St
Ste Ac
East Stroudsburg, PA 18301

296 E Brown St
Ste C
East Stroudsburg, PA 18301

3933 Perkiomen Ave
Ste 101A
Reading, PA 19606

565 E Swedesford Rd
Ste 315
Wayne, PA 19087
Phone (484) 806-1101

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": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1487428397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 E BROWN ST STE D",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013011",
            "telephone_number": "570-445-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 E BROWN ST STE D",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013011",
            "telephone_number": "973-200-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Hamburg Tpke Ste B",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074706251",
            "country_code": "US",
            "telephone_number": "973-200-4695",
            "fax_number": "223-213-2057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELEVIUM PAIN AND VEIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SALISU",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "570-445-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVM Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MVM Health Pain Vein and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.