NPIMap

Organization Active NPI

Ridge Pain Medicine and Anesthesiology, LLC

  • Specialist
  • Paramus, NJ
National Provider Identifier
1629215702
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA08070400 Issued in NJ
Legal business name
RIDGE PAIN MEDICINE AND ANESTHESIOLOGY, LLC
Practice address
140 Route 17 North
Suite 204
Paramus, NJ 07652
Phone
(201) 880-6161
Fax
(201) 540-2552
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Michael Binder, M.D.
Title
Owner/Ceo
Phone
(201) 880-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA08070400 NJ Primary

Addresses

Primary practice location

140 Route 17 North
Suite 204
Paramus, NJ 07652

Mailing address

P.O. Box 395
Park Ridge, NJ 07656
Phone (201) 880-6161

National Provider Directory

National Provider Directory
Tax ID family
Ridge Pain Medicine and Anesthesiology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1629215702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 395",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "07656",
            "telephone_number": "201-880-6161",
            "fax_number": "201-540-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ROUTE 17 NORTH",
            "address_2": "SUITE 204",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-880-6161",
            "fax_number": "201-540-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE PAIN MEDICINE AND ANESTHESIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "201-880-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08070400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.