Organization Active NPI

New Jersey Headache Institute LLC

  • Neurology Physician
  • South Plainfield, NJ
National Provider Identifier
1588087266
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEW JERSEY HEADACHE INSTITUTE LLC
Practice address
1810 Park Ave
South Plainfield, NJ 07080-5522
Phone
(908) 226-1810
Fax
(908) 226-1833
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Payman Sadeghi, MD
Title
Director
Phone
(908) 226-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1810 Park Ave
South Plainfield, NJ 07080-5522

Mailing address

1810 Park Ave
South Plainfield, NJ 07080-5522
Phone (908) 226-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827000429 NJ Part B Supplier - Clinic/Group Practice 0648586222 Receives reassigned benefits from 1 practitioner
Practice locations: South Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

1810 Park Ave
South Plainfield, NJ 07080
Phone (908) 226-1810

1810 Park Ave
Ste B
South Plainfield, NJ 07080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1588087266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805522",
            "telephone_number": "908-226-1810",
            "fax_number": "908-226-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805522",
            "telephone_number": "908-226-1810",
            "fax_number": "908-226-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY HEADACHE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "PAYMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-226-1810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.