NPIMap

Organization Active NPI

Garden State Pain Control Center P.a.

  • Specialist
  • Clifton, NJ
National Provider Identifier
1891869475
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GARDEN STATE PAIN CONTROL CENTER P.A.
Practice address
1117 US Highway 46
Suite 206
Clifton, NJ 07013-2449
Phone
(973) 777-5444
Fax
(973) 777-0304
NPI assigned
Nov 17, 2006
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Dr. Binod P Sinha, M.D.NPI 1932201662
Title
President
Phone
(973) 777-5444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

1117 US Highway 46
Suite 206
Clifton, NJ 07013-2449

Mailing address

1117 US Highway 46
Suite 206
Clifton, NJ 07013-2449
Phone (973) 777-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721000094 NJ Part B Supplier - Clinic/Group Practice 4385624485 Receives reassigned benefits from 13 practitioners
Practice locations: Clifton, NJ; Edison, NJ
O20180723001647 NJ DME Supplier - Physician - General Practice 4385624485 Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

1117 US Highway 46
Ste 206
Clifton, NJ 07013
Phone (973) 777-5444

25 Main St
Edison, NJ 08837
Phone (732) 376-0330

631 Grand St
Ste 2100
Jersey City, NJ 07304
Phone (201) 706-2033

443 Northfield Ave
Ste 302
West Orange, NJ 07052
Phone (973) 777-5444

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1891869475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 US HIGHWAY 46",
            "address_2": "SUITE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132449",
            "telephone_number": "973-777-5444",
            "fax_number": "973-777-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 US HIGHWAY 46",
            "address_2": "SUITE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132449",
            "telephone_number": "973-777-5444",
            "fax_number": "973-777-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PAIN CONTROL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "BINOD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-777-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 26, 2011; 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.