NPIMap

Organization Active NPI

Advanced Rehabilitation and Pain Medicine Group, Inc.

Doing business as Atlas Spine and Interventional Medicine

  • Interventional Pain Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1932469285
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA07732700 Issued in NJ
Legal business name
ADVANCED REHABILITATION AND PAIN MEDICINE GROUP, INC.
Doing business as
Atlas Spine and Interventional Medicine
Practice address
8901 Kennedy Blvd
Suite 1W
North Bergen, NJ 07047-5344
Phone
(201) 430-2022
Fax
(201) 243-7261
NPI assigned
May 21, 2012
Last updated
Jun 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Authorized official

Name
Dr. Steven P. Waldman, MDNPI 1861416364
Title
Physician
Phone
(201) 430-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA07732700 NJ Primary

Addresses

Primary practice location

8901 Kennedy Blvd
Suite 1W
North Bergen, NJ 07047-5344

Mailing address

8901 Kennedy Blvd
Suite 1W
North Bergen, NJ 07047-5344
Phone (201) 430-2022

Other names 1

  • Atlas Spine and Interventional Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Rehabilitation and Pain Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8901 Kennedy Blvd
Ste 1W
North Bergen, NJ 07047
Phone (201) 430-2022

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435449600000",
    "number": "1932469285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD",
            "address_2": "SUITE 1W",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475344",
            "telephone_number": "201-430-2022",
            "fax_number": "201-243-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD",
            "address_2": "SUITE 1W",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475344",
            "telephone_number": "201-430-2022",
            "fax_number": "201-243-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION AND PAIN MEDICINE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2015-06-28",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-430-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA07732700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Spine and Interventional Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.