NPIMap

Individual provider Active NPI

Rahul Sood, D.O.

  • Interventional Pain Medicine Physician
  • Clifton, NJ
National Provider Identifier
1861625279
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MB08610000 Issued in NJ
Practice address
50 Mount Prospect Ave
Suite 209
Clifton, NJ 07013-1900
Phone
(862) 238-8250
Fax
(862) 238-8255
NPI assigned
Sep 1, 2009
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MB08610000 NJ Primary

Addresses

Primary practice location

50 Mount Prospect Ave
Suite 209
Clifton, NJ 07013-1900

Mailing address

PO Box 4222
Clifton, NJ 07012-8222
Phone (862) 238-8250

Other identifiers 1

IdentifierTypeStateIssuer
25MB08610000OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101124001047 NJ Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 4284820606 Reassigns benefits to 2 organizations
I20180614001398 NY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4284820606 Reassigns benefits to 1 organization
I20231027001314 NJ Practitioner - Anesthesiology 4284820606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sood Medical Practice, LLCGroup PAC ID 8729385091, 5 clinicians

Practice addresses (Care Compare)

1 Bridge St
FL 1
Ardsley, NY 10502-2136
Phone (862) 238-8250

50 Mount Prospect Ave
Suite 203
Clifton, NJ 07013-1900
Phone (973) 779-7361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08610000NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meta Surgical Associates LLC CurrentSince Jul 22, 2019 Accepting new patients
Mid-State Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Bergen County Improvement Authority CurrentSince Aug 17, 2023 Accepting new patients
Bergen County Improvement Authority Interventional Pain Medicine CurrentSince Aug 17, 2023 Accepting new patients
Pain Centers of America, PA Past Accepting new patients
Gene Tox Worldwide LLC PastSince Jan 1, 2017 Accepting new patients

Locations

1060 Clifton Ave
Clifton, NJ 07013
Phone (973) 532-7899

50 Mount Prospect Ave
Ste 203
Clifton, NJ 07013
Phone (862) 238-8250

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1861625279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4222",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128222",
            "telephone_number": "862-238-8250",
            "fax_number": "862-238-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE",
            "address_2": "SUITE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "862-238-8250",
            "fax_number": "862-238-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB08610000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MB08610000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.