NPIMap

Organization Active NPI

Florida Pain & Rehabilitation Institute Inc

Doing business as National Pain Institute

  • Interventional Pain Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1861612483
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME57494 Issued in FL
Legal business name
FLORIDA PAIN & REHABILITATION INSTITUTE INC
Doing business as
National Pain Institute
Practice address
150 SW Chamber CT
Ste 105
Port St Lucie, FL 34986-3413
Phone
(772) 807-9000
Fax
(772) 807-9087
NPI assigned
Apr 26, 2007
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA PAIN & REHABILITATION ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Cherian Sajan, MDNPI 1174764153
Title
Owner
Phone
(407) 622-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME57494 FL
Pain Medicine Physician 208VP0000X ME57494 FL
Interventional Pain Medicine Physician 208VP0014X ME57494 FL Primary

Addresses

Primary practice location

150 SW Chamber CT
Ste 105
Port St Lucie, FL 34986-3413

Mailing address

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8172
Phone (561) 241-9300

Other names 1

  • National Pain Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930018986 FL DME Supplier - Physician - General Practice 0749183606 Practice locations: Port St Lucie, FL

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Florida Pain and Rehabilitation Institute Inc26 organizations share this tax ID, including this one
Part of
Florida Pain Rehabilitation Associates Inc

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1861612483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE",
            "address_2": "SUITE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848172",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT",
            "address_2": "STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-807-9000",
            "fax_number": "772-807-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PAIN & REHABILITATION INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PAIN & REHABILITATION ASSOC INC",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "SAJAN",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-5766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME57494",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME57494",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME57494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.

Verify at the official NPI Registry.