Individual provider Active NPI

Stefan Trnovski, M.D.

  • Interventional Pain Medicine Physician
  • Clifton, NJ
National Provider Identifier
1902832991
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA07441200 Issued in NJ
Practice address
1373 Broad St Ste 310
Clifton, NJ 07013-4231
Phone
(862) 377-7090
Fax
(862) 238-8228
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA07441200 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA07441200 NJ Primary

Addresses

Primary practice location

1373 Broad St Ste 310
Clifton, NJ 07013-4231

Mailing address

285 E Saddle River Rd
Upper Saddle River, NJ 07458-2152
Phone (862) 377-7090

Other practice location 1

61 Hudson St
Hackensack, NJ 07601-6943
Phone (862) 377-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000312 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 2365409687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians

Practice addresses (Care Compare)

1373 Broad St
Suite 310
Clifton, NJ 07013-4231
Phone 8623777090105

190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone (718) 540-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07441200NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stefan Trnovski Interventional Pain Management, LLC Interventional Pain Medicine CurrentSince May 1, 2024 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Apr 13, 2025 Accepting new patients
Midland Anesthesia and Pain Management, PC Past Accepting new patients
Young Hur M D P C Past Accepting new patients

Locations

1373 Broad St
Ste 310
Clifton, NJ 07013
Phone (845) 896-9200

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

61 Hudson St
Hackensack, NJ 07601
Phone (201) 581-0778

190 Midland Ave
#2
Saddle Brook, NJ 07663
Phone (973) 685-7121

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1902832991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582152",
            "telephone_number": "862-377-7090",
            "fax_number": "862-238-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 BROAD ST STE 310",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134231",
            "telephone_number": "862-377-7090",
            "fax_number": "862-238-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Hudson St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016943",
            "country_code": "US",
            "telephone_number": "862-377-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRNOVSKI",
        "first_name": "STEFAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA07441200",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA07441200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.