Active NPI
New Jersey Pain Care Center PC
- Physical Medicine & Rehabilitation Physician
- Riverdale, NJ
National Provider Identifier
1558501601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NEW JERSEY PAIN CARE CENTER PC
- Practice address
- 44 State RT 23
Ste 15B
Riverdale, NJ 07457-1603 - Phone
- (973) 400-1716
- Fax
- (973) 400-1631
- NPI assigned
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathy Iodice
- Title
- Practice Manager
- Phone
- (973) 400-1716
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Neurology Physician | 2084N0400X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
44 State RT 23
Ste 15B
Riverdale, NJ 07457-1603
Mailing address
44 State RT 23
Ste 15B
Riverdale, NJ 07457-1603
Phone (973) 400-1716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1326131657
Anesthesiology, NJ
-
- Interventional Pain Medicine Physician
- Brooklyn, NY
- NPI 1689802464
Multi-Specialty, NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390867200000",
"number": "1558501601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 STATE RT 23",
"address_2": "STE 15B",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571603",
"telephone_number": "973-400-1716",
"fax_number": "973-400-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 STATE RT 23",
"address_2": "STE 15B",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571603",
"telephone_number": "973-400-1716",
"fax_number": "973-400-1631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY PAIN CARE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2014-01-28",
"status": "A",
"authorized_official_last_name": "IODICE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "973-400-1716",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.