Organization Active NPI

Pain Management Center of New Jersey

  • Interventional Pain Medicine Physician
  • Union, NJ
National Provider Identifier
1649508029
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MAO4576800 Issued in NJ
Legal business name
PAIN MANAGEMENT CENTER OF NEW JERSEY
Practice address
627 Chestnut St
Union, NJ 07083-9318
Phone
(908) 688-8880
Fax
(908) 688-8881
NPI assigned
Nov 24, 2009
Last updated
Nov 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Dr. Hunam Nam, MD
Title
President
Phone
(908) 688-8880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MAO4576800 NJ Primary
Interventional Pain Medicine Physician 208VP0014X 163382 NY

Addresses

Primary practice location

627 Chestnut St
Union, NJ 07083-9318

Mailing address

627 Chestnut St
Union, NJ 07083-9318
Phone (908) 688-8880

National Provider Directory

National Provider Directory

Locations

627 Chestnut St
Union, NJ 07083
Phone (908) 688-8880

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1649508029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839318",
            "telephone_number": "908-688-8880",
            "fax_number": "908-688-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839318",
            "telephone_number": "908-688-8880",
            "fax_number": "908-688-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "HUNAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-688-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MAO4576800",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "163382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.