Pain Center of North Jersey PC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0083497 Issued in NJ

Legal business name

PAIN CENTER OF NORTH JERSEY PC.

Practice address

1084 Main Ave
Clifton, NJ 07011-2330

Phone

(973) 473-4040

Fax

(973) 472-2451

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shams Qureshi, MD

Title

Director

Phone

(973) 473-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1497881379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-473-4040",
            "fax_number": "973-249-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-473-4040",
            "fax_number": "973-472-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF NORTH JERSEY PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-473-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "0083497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Olusoji Owolabi
• Itzitl Pacheco Riveros
• Francisco Pacheco
• Sandra Pachon, DDS
• Richard Pagnillo, PT
• Pain Centers of America, PA
• Pain Management and Rehab Center,LLC
• Pain Management Clinic
• Pain Management Medical Associates LLC
• Pain Management Services, PC

• Specialist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.