NJ Pain Management & Rehab, P.a.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA08695400 Issued in NJ

Legal business name

NJ PAIN MANAGEMENT & REHAB, P.A.

Practice address

645 Elizabeth Ave
Elizabeth, NJ 07206-1131

Phone

(908) 662-2222

NPI assigned

Dec 10, 2012

Last updated

Dec 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lyudmila Poretskaya, MD

Title

President

Phone

(908) 662-2222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1548505019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9040",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072010940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061131",
            "telephone_number": "908-662-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PAIN MANAGEMENT & REHAB, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "PORETSKAYA",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-662-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08695400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ Balance Testing & Fall Prevention Assoc LLC
• NJ Center for Pain & Rehabilitation
• NJ Golden Home Care
• NJ Med PA
• NJ Med, PA
• NJ Sunny Home Care Inc
• NJ Urgentcare
• Nna of Elizabeth, L.L.C. (Nna of Elizabeth)
• Jermaine A Nnaeto, PMHNP-BC
• Joseph Norowitz, O.D.

• Pain Medicine (Anesthesiology) Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.