The Pain, Spine and Sports Institute LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

THE PAIN, SPINE AND SPORTS INSTITUTE LLC

Practice address

1144 E Ridgewood Ave
Ridgewood, NJ 07450-3941

Phone

(201) 336-0188

Fax

(201) 336-0141

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Rehan Ali, MDNPI 1144527011

Title

Ceo

Phone

(201) 912-9233

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Rehan Ali, M.D.

  • Interventional Pain Medicine Physician
  • Ridgewood, NJ
  • NPI 1144527011
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Sabban, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ridgewood, NJ
  • NPI 1346700762
  Medicare reassignment Care Compare group NPD
• Megan A Foley, PA-C

  • Physician Assistant
  • North Bergen, NJ
  • NPI 1356025894
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1922563121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46 STE A-208",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132473",
            "telephone_number": "973-779-7361",
            "fax_number": "973-779-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941",
            "telephone_number": "201-336-0188",
            "fax_number": "201-336-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 US Highway 46 Ste A-208",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132473",
            "country_code": "US",
            "telephone_number": "201-336-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PAIN, SPINE AND SPORTS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-912-9233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "25MA09668500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Kara Tesher, PSYD
• Sheryl Thailer, PH.D.
• Eve Thaler, LPC
• Faith Thayer, LPC, LCAT
• The Center for Transformation Health and Wellness LLC
• The Stop & Shop Supermarket Company LLC
• The Trustees of Columbia University in the City of New York
• The Valley Hospital
• The Valley Hospital
• The Valley Hospital Inc.

• Interventional Pain Medicine Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.