Organization Active NPI

North Jersey Pain Management Center,LLC.

  • Pain Clinic/Center
  • Wayne, NJ
National Provider Identifier
1821156308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
261QP3300X Issued in NJ
Legal business name
NORTH JERSEY PAIN MANAGEMENT CENTER,LLC.
Practice address
3 Fox Boro Rd
Wayne, NJ 07470-8442
Phone
(973) 464-3341
Fax
(973) 357-4998
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ladislav Habina, MD
Title
Owner
Phone
(973) 464-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 261QP3300X NJ Primary

Addresses

Primary practice location

3 Fox Boro Rd
Wayne, NJ 07470-8442

Mailing address

3 Fox Boro Rd
Wayne, NJ 07470-8442
Phone (973) 464-3341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821156308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOX BORO RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708442",
            "telephone_number": "973-464-3341",
            "fax_number": "973-357-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FOX BORO RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708442",
            "telephone_number": "973-464-3341",
            "fax_number": "973-357-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PAIN MANAGEMENT CENTER,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABINA",
        "authorized_official_first_name": "LADISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-464-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "261QP3300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.