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
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.
Title
President
Phone
(973) 777-5444

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

25 Main St
Ste 12
Edison, NJ 08837
Phone (732) 376-0330

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

226 Middle Rd
Hazlet, NJ 07730
Phone (732) 264-7615

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

152 State Route 35
Keyport, NJ 07735
Phone (732) 695-4700

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

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

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.