Active NPI
Neurology and Pain Management, P.a.
- Specialist
- Wayne, NJ
National Provider Identifier
1699986711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 208981
- Legal business name
- NEUROLOGY AND PAIN MANAGEMENT, P.A.
- Practice address
- 87 Berdan Ave
Suite B2
Wayne, NJ 07470-3210 - Phone
- (973) 692-9631
- Fax
- (973) 692-7778
- NPI assigned
- May 24, 2007
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alla Mesh, MD
- Title
- MD
- Phone
- (718) 218-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 208981 | NY | Primary |
Addresses
Primary practice location
87 Berdan Ave
Suite B2
Wayne, NJ 07470-3210
Mailing address
163 Elm St
Tenafly, NJ 07670-3032
Phone (917) 359-8378
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068292 | Medicaid | NY | |
| 3099034 | Other | NY | GHI PPO |
| 3953580 | Other | NY | CIGNA |
| 7675051 | Other | NY | AETNA |
| 606N01 | Other | NY | BLUE CROSS BLUE SHEILD |
| P3611393 | Other | NJ | OXFORD NJ |
| 2060979 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
87 Berdan Ave
Ste B2
Wayne, NJ 07470
Phone (973) 692-9631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1699986711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 ELM ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076703032",
"telephone_number": "917-359-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 BERDAN AVE",
"address_2": "SUITE B2",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703210",
"telephone_number": "973-692-9631",
"fax_number": "973-692-7778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY AND PAIN MANAGEMENT, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MESH",
"authorized_official_first_name": "ALLA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-218-9898",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "208981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068292",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "3099034",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3953580",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7675051",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "606N01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD NJ",
"identifier": "P3611393",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2060979",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.