Bethel Interventional Pain Management, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

25MA08408300 Issued in NJ

Legal business name

BETHEL INTERVENTIONAL PAIN MANAGEMENT, LLC

Practice address

385 Sylvan Ave
Suite 23
Englewood Cliffs, NJ 07632-2726

Phone

(201) 568-3600

Fax

(201) 567-7900

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Cho, M.DNPI 1417111600

Title

Owner

Phone

(732) 261-0720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Sungkook Cho, MD

  • Interventional Pain Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1417111600
  NPD (past) Authorized official

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1497126056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SYLVAN AVE",
            "address_2": "SUITE 23",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322726",
            "telephone_number": "201-568-3600",
            "fax_number": "201-567-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SYLVAN AVE",
            "address_2": "SUITE 23",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322726",
            "telephone_number": "201-568-3600",
            "fax_number": "201-567-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-261-0720",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "25MA08408300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.