Epic Pain Management & Anesthesia Consultants LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA08519500 Issued in NJ

Legal business name

EPIC PAIN MANAGEMENT & ANESTHESIA CONSULTANTS LLC

Practice address

516 Hamburg Tpke
Ste 2
Wayne, NJ 07470-2062

Phone

(973) 866-0336

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Amit Goswami, MD

Title

Provider/Owner

Phone

(646) 620-6415

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1598084006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070248279",
            "telephone_number": "973-866-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE",
            "address_2": "STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702062",
            "telephone_number": "973-866-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC PAIN MANAGEMENT & ANESTHESIA CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "646-620-6415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01058973A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD434945",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "256512",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08519500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Epic Pain Management & Anesthesia Consultants LLC
• Ayman Eraiba, MD
• Magda Eraiba, M.D,
• Eraibe & Eraiba Internal Medicine
• Henry Zaragosa Erasmo, P.T.

• Pain Medicine (Anesthesiology) Physician in Wayne, NJ
• Providers in Wayne, 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 Feb 13, 2017; 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.