Organization Active NPI

Florida Pain & Rehabilitation Institute Inc

  • Interventional Pain Medicine Physician
  • Rockledge, FL
National Provider Identifier
1497290027
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME109651 Issued in FL
Legal business name
FLORIDA PAIN & REHABILITATION INSTITUTE INC
Practice address
389 Commerce Pkwy Ste 120
Rockledge, FL 32955-4202
Phone
(321) 639-0344
Fax
(321) 639-0865
NPI assigned
Jan 6, 2017
Last updated
Feb 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA PAIN AND REHABILITATION ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Cherian Sajan, MDNPI 1174764153
Title
Owner
Phone
(407) 622-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME109651 FL
Pain Medicine Physician 208VP0000X ME109651 FL
Interventional Pain Medicine Physician 208VP0014X ME109651 FL Primary

Addresses

Primary practice location

389 Commerce Pkwy Ste 120
Rockledge, FL 32955-4202

Mailing address

5365 W Atlantic Ave Ste 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

Other identifiers 1

IdentifierTypeStateIssuer
4273890018OtherFLMEDICARE NSC

National Provider Directory

National Provider Directory
Part of
Florida Pain and Rehabilitation Associates Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1497290027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE STE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848194",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 COMMERCE PKWY STE 120",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554202",
            "telephone_number": "321-639-0344",
            "fax_number": "321-639-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PAIN & REHABILITATION INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PAIN AND REHABILITATION ASSOCIATES INC",
        "enumeration_date": "2017-01-06",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "SAJAN",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-5766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "4273890018",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.