Precision Pain Management Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05589800 Issued in NJ

Legal business name

PRECISION PAIN MANAGEMENT CENTER PC

Practice address

303 Molnar Dr
1St Floor
Elmwood Park, NJ 07407-3213

Phone

(201) 796-4002

Fax

(201) 796-4005

NPI assigned

Dec 18, 2007

Last updated

Jul 29, 2013By 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

Dr. Kristappa Sangavaram, MDNPI 1376635722

Title

President

Phone

(201) 796-4007

Specialties & licenses 1

Addresses

Locations

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.

• Kristappa Sangavaram, M.D.

  • Anesthesiology Physician
  • Elmwood Park, NJ
  • NPI 1376635722
  Authorized official Same address or phone

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1679757215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MOLNAR DRIVE",
            "address_2": "1ST FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073213",
            "telephone_number": "201-796-4007",
            "fax_number": "201-796-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MOLNAR DR",
            "address_2": "1ST FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073213",
            "telephone_number": "201-796-4002",
            "fax_number": "201-796-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PAIN MANAGEMENT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "SANGAVARAM",
        "authorized_official_first_name": "KRISTAPPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-796-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05589800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.