Organization Active NPI

Regional Pain Care PC

  • Anesthesiology Physician
  • Pleasantville, NJ
National Provider Identifier
1659640589
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06434200 Issued in NJ
Legal business name
REGIONAL PAIN CARE PC
Doing business as
Regional Pain Care PC
Practice address
1004 S New Rd
Pleasantville, NJ 08232-3730
Phone
(609) 652-4141
Fax
(609) 652-9939
NPI assigned
Dec 21, 2011
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Abdul Qadir, MDNPI 1902809742
Title
MD
Phone
(609) 652-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06434200 NJ Primary

Addresses

Primary practice location

1004 S New Rd
Pleasantville, NJ 08232-3730

Mailing address

1004 New Road
Pleasantville, NJ 08232-3730
Phone (609) 652-4141

Other names 1

  • Regional Pain Care PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000088 NJ Part B Supplier - Clinic/Group Practice 9133388499 Receives reassigned benefits from 3 practitioners
Practice locations: Pleasantville, NJ

National Provider Directory

National Provider Directory

Locations

314 Chris Gaupp Dr
Ste 201
Galloway, NJ 08205
Phone (609) 404-7797

1004 S New Rd
Pleasantville, NJ 08232
Phone (609) 652-4141

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1659640589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 NEW ROAD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-652-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06434200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Pain Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.