Individual provider Active NPI

Samyadev Datta, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hackensack, NJ
National Provider Identifier
1497778005
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA07161100 Issued in NJ
Practice address
294-298 State St Ste 1
Hackensack, NJ 07601-5544
Phone
(201) 488-7246
Fax
(201) 488-2788
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA07161100 NJ Primary

Addresses

Primary practice location

294-298 State St Ste 1
Hackensack, NJ 07601-5544

Mailing address

294-298 State St Ste 1
Hackensack, NJ 07601-5544
Phone (201) 488-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025000067 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 4183513690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Associates of Bergen County LLCGroup PAC ID 0345502670, 2 clinicians
Center for Pain ManagementGroup PAC ID 7012933617, 2 clinicians

Practice addresses (Care Compare)

294 -298 State St
Suite 2
Hackensack, NJ 07601-5544
Phone (201) 488-7246

294 State St
Suite 1
Hackensack, NJ 07601-5515
Phone (201) 488-7246

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as individual
Quality
65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management Pain Medicine CurrentSince Oct 5, 2005 Accepting new patients
Pain Associates of Bergen County LLC CurrentSince Apr 1, 2018 Accepting new patients
Neurosurgical Associates of New Jersey, P.C. Past Accepting new patients
Bergen Anesthesia Associates PA Past Accepting new patients

Locations

294-298 State St
Ste 2
Hackensack, NJ 07601
Phone (201) 488-7246

294 State St
Ste 1
Hackensack, NJ 07601
Phone (201) 488-7246

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16180/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1497778005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294-298 STATE ST STE 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015544",
            "telephone_number": "201-488-7246",
            "fax_number": "201-488-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294-298 STATE ST STE 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015544",
            "telephone_number": "201-488-7246",
            "fax_number": "201-488-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "SAMYADEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA07161100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.