Garden State Spine and Pain Centers

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MA08823500 Issued in NJ

Legal business name

GARDEN STATE SPINE AND PAIN CENTERS

Practice address

1010 Clifton Ave
Suite 203
Clifton, NJ 07013-3519

Phone

(862) 335-9696

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Sukdeb Datta, M.D.

Title

President

Phone

(615) 479-4692

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1861887630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TREETOP CT",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CLIFTON AVE",
            "address_2": "SUITE 203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133519",
            "telephone_number": "862-335-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE SPINE AND PAIN CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "SUKDEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-479-4692",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA08823500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden State Orthopaedic Associates, P.a.
• Garden State Pain Control Center
• Garden State Pain Control Center P.a.
• Garden State Pain Management, PA
• Garden State Spinal Care
• Garden State Sports & Pain Medicine, LLC
• Scott William Gardner, D.C.
• Michelle Gargiulo
• Jane Ashley Garner, ADV PRACTICE NURSE
• Casey Gartland, PT, DPT

• Pain Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.