Edison Injury and Pain Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EDISON INJURY AND PAIN CENTER, LLC

Doing business as

Backsmart At Ramsey

Practice address

171 Lake St
Ramsey, NJ 07446-2089

Phone

(201) 327-1990

Fax

(201) 327-1921

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By 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

Miss Michelle K Weckesser

Title

Office Manager

Phone

(732) 661-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Backsmart At Ramsey Doing business as

Locations

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1801352786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 KING GEORGES POST RD STE 501",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373722",
            "telephone_number": "732-661-1121",
            "fax_number": "732-661-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462089",
            "telephone_number": "201-327-1990",
            "fax_number": "201-327-1921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "NJ",
            "postal_code": "076561331",
            "country_code": "US",
            "telephone_number": "201-573-0066",
            "fax_number": "201-573-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDISON INJURY AND PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "WECKESSER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-661-1121",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NJ",
            "identifier": "1881132082",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Backsmart At Ramsey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Drake, PHD APRN BC
• Drug Fair Group, Inc. (Drug Fair of Ramsey)
• Eugene Dunaev, PSY.D.
• Jeff Daniel Duro, DPT
• Nika Dyakina, D.O.
• Elite Medical Lab
• Rodion Erenburg, MD
• Erika Taylor, LCSW, L.L.C.
• George Eskandar, PA-C
• George Espinal

• Chiropractor in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.