Pacifica PM&R LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PACIFICA PM&R LLC

Practice address

323 Main St Ste E
Metuchen, NJ 08840-2476

Phone

(908) 412-0900

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By 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

Ivan Chen, MDNPI 1467632364

Title

Owner

Phone

(908) 412-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ivan Chen, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Little Falls, NJ
  • NPI 1467632364
  NPD Authorized official
• Alice Chaw Tzeng, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Metuchen, NJ
  • NPI 1821025040
  NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1699556886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088400580",
            "telephone_number": "908-412-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST STE E",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402476",
            "telephone_number": "908-412-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA PM&R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-412-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dewitt Oliver Jr., D.D.S.
• Om Psychotherapy Group, LLC
• Bernadette Omara-Nolan, LCSW
• Omega Biomechanical Institute
• Shamyra P Osanyinlusi, LPC
• Pooja Papneja
• Candice Park, D.D.S.
• Choon Sik Park, D.D.S.
• Justin Kyouk Park, PHARMD
• Avnee Maganlal Patel, PHYSICAL THERAPIST

• Physical Medicine & Rehabilitation Physician in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.