Organization Active NPI

If Pain Associates LLC

  • Specialist
  • Englewood, NJ
National Provider Identifier
1760500706
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IF PAIN ASSOCIATES LLC
Practice address
401 S Van Brunt St
Englewood, NJ 07631-4604
Phone
(201) 342-1205
Fax
(201) 342-1259
NPI assigned
Mar 27, 2007
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Isaiah Florence, MDNPI 1114906377
Title
President-Single Owner
Phone
(201) 342-1205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

401 S Van Brunt St
Englewood, NJ 07631-4604

Mailing address

PO Box 441
Oradell, NJ 07649-0441
Phone (201) 342-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000353 NJ Part B Supplier - Clinic/Group Practice 6305892399 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

222 Cedar Ln
Ste 210
Teaneck, NJ 07666
Phone (201) 926-7897

381 Teaneck Rd
Lowr
Teaneck, NJ 07666
Phone (201) 287-1100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1760500706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076490441",
            "telephone_number": "201-342-1205",
            "fax_number": "201-342-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-342-1205",
            "fax_number": "201-342-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IF PAIN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "FLORENCE",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "PRESIDENT-SINGLE OWNER",
        "authorized_official_telephone_number": "201-342-1205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.