Premier Pain and Rehabilitation Center of NJ PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PREMIER PAIN AND REHABILITATION CENTER OF NJ PC

Practice address

7 Ridgedale Ave Ste 204
Ste 204
Cedar Knolls, NJ 07927-1120

Phone

(973) 917-3800

Fax

(973) 206-2236

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ajay Kumar, M.D.

Title

MD

Phone

(973) 917-3800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1912456831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUNRISE DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544367",
            "telephone_number": "973-917-3800",
            "fax_number": "973-206-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIDGEDALE AVE STE 204",
            "address_2": "STE 204",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271120",
            "telephone_number": "973-917-3800",
            "fax_number": "973-206-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN AND REHABILITATION CENTER OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-917-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adil Pervaiz, MD
• Caeley Ann Philhower
• Meghan Kathleen Pillai, MD
• Jeffrey Pospis, LPC, LCADC, CCS
• Sarah Kelley Potash, M.D.
• Brianne L. Prior, D.C.
• Professional Occupational & Physical Therapy, PLLC
• Progressive Comprehensive Services LLC
• Progressive Comprehensive Services LLC
• Alexander Joseph Pronko

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.