Organization Active NPI

Neurology and Pain Management, P.a.

  • Specialist
  • Wayne, NJ
National Provider Identifier
1699986711
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208981 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0068292MedicaidNY
3099034OtherNYGHI PPO
3953580OtherNYCIGNA
7675051OtherNYAETNA
606N01OtherNYBLUE CROSS BLUE SHEILD
P3611393OtherNJOXFORD NJ
2060979MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.