Active NPI
Samyadev Datta, MD
- Pain Medicine (Anesthesiology) Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA07161100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Hackensack University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.86 of 100
- Quality
- 65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pain Management | Pain Medicine | Current | Accepting new patients |
| Pain Associates of Bergen County LLC | Current | 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
- https://api.platform.athenahealth.com/16180/brand/1/csg/1/fhir/r4
- 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.
-
- Interventional Pain Medicine Physician
- Hackensack, NJ
- NPI 1720592942
-
- Pain Medicine (Anesthesiology) Physician
- Hackensack, NJ
- NPI 1700806551
-
- Specialist
- Teaneck, NJ
- NPI 1407965080
-
- Neurological Surgery Physician
- Ridgewood, NJ
- NPI 1992753594
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.