Livewell Pain Management

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LIVEWELL PAIN MANAGEMENT

Practice address

9 Summit Ave
Elmwood Park, NJ 07407-1529

Phone

(201) 458-1080

Fax

(201) 458-1088

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Nora Taha, MDNPI 1962632695

Title

President

Phone

(201) 458-1080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nora A Taha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Elmwood Park, NJ
  • NPI 1962632695
  Medicare reassignment Care Compare group NPD Authorized official
• Dana Jill Genter, RPA-C

  • Surgical Physician Assistant
  • Franklin Lakes, NJ
  • NPI 1972883130
  Medicare reassignment Care Compare group
• Jasmin Harounian, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Elmwood Park, NJ
  • NPI 1033643861
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1851086441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SUMMIT AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071529",
            "telephone_number": "201-458-1080",
            "fax_number": "201-458-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUMMIT AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071529",
            "telephone_number": "201-458-1080",
            "fax_number": "201-458-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-458-1080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Laski, APN
• James Lee
• PO-Shing Lee, M.D.
• Leonid Lamper MD PC
• Liberty Healthcare Services
• Boris Livshits, M.D.
• Angelina Marie Longo, M.A, BCBA
• Lisa Lukas
• Michael K Maley, MD
• Heather E Manspeizer, MD

• Physical Medicine & Rehabilitation Physician in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.