Avicenna Pain Treatment Group

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

AVICENNA PAIN TREATMENT GROUP

Practice address

152 Pond Dr
Township of Washington, NJ 07676-5130

Phone

(862) 333-8935

Fax

(201) 983-6600

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Zhuravkov, MDNPI 1306881784

Title

President

Phone

(201) 906-9279

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Zhuravkov, M.D.

  • Interventional Pain Medicine Physician
  • Township of Washington, NJ
  • NPI 1306881784

  Anesthesiology

  NPD (past) Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1528801024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110055",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071100901",
            "telephone_number": "862-333-8935",
            "fax_number": "201-983-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 POND DR",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076765130",
            "telephone_number": "862-333-8935",
            "fax_number": "201-983-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA PAIN TREATMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "ZHURAVKOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-906-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Township of Washington, NJ
• Providers in Township of Washington, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.