Active NPI
Pain Relief Center PA
- Pain Medicine (Anesthesiology) Physician
- West New York, NJ
National Provider Identifier
1770689192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA06482500
- Legal business name
- PAIN RELIEF CENTER PA
- Practice address
- 211 60TH Street
West New York, NJ 07093 - Phone
- (201) 662-5437
- Fax
- (201) 662-7195
- NPI assigned
- Sep 15, 2006
- Last updated
- Aug 22, 2020
- 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
- Felix Eduardo Roque, MD
- Title
- President
- Phone
- (201) 662-5437
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA06482500 | NJ | Primary |
Addresses
Primary practice location
211 60TH Street
West New York, NJ 07093
Mailing address
PO Box 999
Cliffside Park, NJ 07010-0999
Phone (201) 662-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7067607 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
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.
-
- Pain Medicine (Anesthesiology) Physician
- West New York, NJ
- NPI 1366506495
-
- Physical Therapist
- Union City, NJ
- NPI 1033529516
-
- Physical Therapist
- Union City, NJ
- NPI 1376018291
-
- Physical Therapist
- Franklin Lakes, NJ
- NPI 1699850123
-
- Physical Therapist
- Franklin Lakes, NJ
- NPI 1780839456
-
- Physical Therapist
- Newark, NJ
- NPI 1043716640
-
- Physical Therapist
- Jersey City, NJ
- NPI 1861896359
-
- Physical Therapist
- Newark, NJ
- NPI 1578744884
-
- Physical Therapist
- Branchburg, NJ
- NPI 1245275999
-
- Sleep Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1487844148
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770689192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 999",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070100999",
"telephone_number": "201-662-5437",
"fax_number": "201-662-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 60TH STREET",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "201-662-5437",
"fax_number": "201-662-7195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN RELIEF CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROQUE",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "EDUARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-662-5437",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA06482500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7067607",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.