NPIMap

Organization Active NPI

Sood Medical Practice, LLC

Doing business as Metro Pain Centers

  • Interventional Pain Medicine Physician
  • Clifton, NJ
National Provider Identifier
1881053676
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
Legal business name
SOOD MEDICAL PRACTICE, LLC
Doing business as
Metro Pain Centers
Practice address
50 Mount Prospect Ave Ste 209
Clifton, NJ 07013-1900
Phone
(862) 238-8250
Fax
(862) 238-8255
NPI assigned
Feb 22, 2016
Organization subpart
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

Authorized official

Name
Dr. Sood Rahul, M.D
Title
President
Phone
(732) 261-0207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X 25MB08610000 NJ Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
25MB08610000OtherNJLICENSE

Other names 2

  • Metro Pain Centers Doing business as
  • Interventional Pain Consultants of North jersey, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160331001417 NJ Part B Supplier - Clinic/Group Practice 8729385091 Receives reassigned benefits from 8 practitioners
Practice locations: Clifton, NJ
O20180222001011 NJ DME Supplier - Physician - General Practice 8729385091 Practice locations: Clifton, NJ
O20180614001231 NY Part B Supplier - Clinic/Group Practice 8729385091 Receives reassigned benefits from 4 practitioners
Practice locations: Ardsley, NY

National Provider Directory

National Provider Directory

Locations

855 Broadway
Bayonne, NJ 07002
Phone (201) 345-3599

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

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1881053676",
    "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 STE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "862-238-8250",
            "fax_number": "862-238-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOD MEDICAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "RAHUL",
        "authorized_official_first_name": "SOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-261-0207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY 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": [
        {
            "organization_name": "Metro Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interventional Pain Consultants of North jersey, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.