Sensory Diagnostics and Pain Management Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0400423183 Issued in NJ

Legal business name

SENSORY DIAGNOSTICS AND PAIN MANAGEMENT ASSOCIATES

Practice address

183 Old Tappan Rd Ste 2
Old Tappan, NJ 07675-7088

Phone

(201) 497-6612

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Robert W Roetman

Title

Managing Member

Phone

(201) 497-6612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1679861322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 OLD TAPPAN RD STE 2",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757088",
            "telephone_number": "201-497-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 OLD TAPPAN RD STE 2",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757088",
            "telephone_number": "201-497-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSORY DIAGNOSTICS AND PAIN MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "ROETMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-497-6612"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "0400423183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Rudnicki, DDS
• Osvaldo Sanchez
• Sang Yun Ro, DDS, PC
• Diane C Schwartz, MD
• Robin Helene Semegran, O.D.
• Loanda Ana Sota, PHARMD
• Spectrum Physical Therapy & Athletic Training, LLC
• Spectrum Wellness Center
• Spero E Demoleas
• Sports Medicine Center of Bergen, PA

• Clinic/Center in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.