Pain Management Medical Associates LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

2065821 Issued in NY

Legal business name

PAIN MANAGEMENT MEDICAL ASSOCIATES LLC

Practice address

1060 Clifton Ave
Clifton, NJ 07013-3638

Phone

(973) 779-7361

Fax

(973) 779-7385

NPI assigned

Jul 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ravi K Venkataraman, MD

Title

Ceo

Phone

(973) 779-7361

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1558675645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070120758",
            "telephone_number": "973-779-7361",
            "fax_number": "973-779-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133638",
            "telephone_number": "973-779-7361",
            "fax_number": "973-779-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-779-7361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA06850700",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "2065821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NY",
            "identifier": "7787522",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2065821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA06850700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Pagnillo, PT
• Pain Center of North Jersey PC.
• Pain Centers of America, PA
• Pain Management and Rehab Center,LLC
• Pain Management Clinic
• Pain Management Services, PC
• Pain Spine & Rehab
• Soheil Pajoohi, M.D.
• Gian Dev Pal, M.D.
• Marilynn Palacio

• Interventional Pain Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.