Organization Active NPI

Jersey State Pain Management

  • Pain Medicine Physician
  • Union City, NJ
National Provider Identifier
1881093219
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA05052100 Issued in NJ
Legal business name
JERSEY STATE PAIN MANAGEMENT
Practice address
404 32ND St Apt 1
Union City, NJ 07087-3966
Phone
(201) 758-7530
Fax
(201) 758-7529
NPI assigned
Aug 21, 2014
Last updated
Aug 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Luis Ramirez-Pacheco, M.DNPI 1275604563
Title
Medical Director
Phone
(201) 758-7530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 25MA05052100 NJ Primary

Addresses

Primary practice location

404 32ND St Apt 1
Union City, NJ 07087-3966

Mailing address

PO Box 732
Union City, NJ 07087-0732
Phone (201) 758-7530

National Provider Directory

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": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1881093219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070870732",
            "telephone_number": "201-758-7530",
            "fax_number": "201-758-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 32ND ST APT 1",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873966",
            "telephone_number": "201-758-7530",
            "fax_number": "201-758-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY STATE PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ-PACHECO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-758-7530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA05052100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.