Fort Lee Pain Management LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

FORT LEE PAIN MANAGEMENT LLC

Practice address

1638 Schlosser St Ste D4
Fort Lee, NJ 07024-5650

Phone

(855) 443-2544

NPI assigned

Jun 27, 2017

Last updated

May 15, 2019By 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

Jignyasa Desai, DONPI 1306082045

Title

Owner

Phone

(201) 342-1205

Specialties & licenses 1

Addresses

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.

• Jignyasa Desai, D.O.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1306082045
  Authorized official Same address or phone

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1619497914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070200350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 SCHLOSSER ST STE D4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245650",
            "telephone_number": "855-443-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "JIGNYASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-342-1205",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Lee Health Center PC
• Fort Lee Health Supplies
• Fort Lee Internal Medicine PC
• Fort Lee Medical Center, Inc. (Fort Lee Surgery Center)
• Fort Lee Orthodontic Associates PC
• Fort Lee Pharmacy & Surgical Inc (Fort Lee Pharmacy & Surgicals)
• Fort Lee Pharmacy & Surgical Inc (Fort Lee Pharmacy and Surgicals Inc)
• Fort Lee Physical Therapy, P.C.
• Fort Lee Podiatry Group LLC
• Fort Lee Rehabilitation

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.