NPIMap

Organization Active NPI

Comprehensive Pain Therapy Center, PC

  • Rehabilitation Practitioner
  • Englewood, NJ
National Provider Identifier
1851478846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
25MA05128300 Issued in NJ
Legal business name
COMPREHENSIVE PAIN THERAPY CENTER, PC
Practice address
535 Grand Ave FL 2
Englewood, NJ 07631-4934
Phone
(201) 541-1111
Fax
(201) 541-0777
NPI assigned
Nov 1, 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
Chee Gap Kim, MD
Title
President
Phone
(201) 541-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X 25MA05128300 NJ Primary

Addresses

Primary practice location

535 Grand Ave FL 2
Englewood, NJ 07631-4934

Mailing address

535 Grand Ave FL 2
Englewood, NJ 07631-4934
Phone (201) 541-1111

Other names 1

  • Comprehensive Pain Therapy Center, PC Doing business as

National Provider Directory

National Provider Directory

Locations

535 Grand Ave
#2
Englewood, NJ 07631
Phone (201) 541-1111

475 Grand Ave
Fl 2
Englewood, NJ 07631
Phone (201) 541-1111

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851478846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GRAND AVE FL 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314934",
            "telephone_number": "201-541-1111",
            "fax_number": "201-541-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GRAND AVE FL 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314934",
            "telephone_number": "201-541-1111",
            "fax_number": "201-541-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN THERAPY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHEE",
        "authorized_official_middle_name": "GAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-541-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NJ",
            "license": "25MA05128300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Pain Therapy Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.