Jon Paul Dadaian, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA08092000 Issued in NJ

Practice address

554 Boulevard
Elmwood Park, NJ 07407

Phone

(973) 365-5844

NPI assigned

Aug 15, 2006

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/430a7ff7-9999-4cda-a19f-fb8b573704c8/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jon Paul Dadaian P.C.

  • Health Service Clinic/Center
  • Wallington, NJ
  • NPI 1841506250
  Authorized official Same address or phone
• Vigilant Anesthesia

  • Anesthesiology Physician
  • Wallington, NJ
  • NPI 1508172727
  Authorized official Same address or phone
• American Anesthesiology of New Jersey, P.C.

  dba New Jersey Anesthesia Associates

  • Anesthesiology Physician
  • Florham Park, NJ
  • NPI 1386654036
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1629081013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073441",
            "telephone_number": "974-204-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "973-365-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADAIAN",
        "first_name": "JON PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08092000",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08092000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzana Del Carmen Cordova, RDN
• Arnold D Craft, O.D.
• Creating Communication & Connections
• Ralph Waldo Cuartero, PT
• Curalta Medical LLC
• Steven H Dane, M.D.
• Mahlik Davis
• Laura Del Corso, RPH
• Arlene Del Rosario, PHARMD
• Direct Emergency Medical Services LLC

• Pain Medicine Physician in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.