Comprehensive Pain Medicine and Anesthesia Group, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB07566200 Issued in NJ

Legal business name

COMPREHENSIVE PAIN MEDICINE AND ANESTHESIA GROUP, PC

Practice address

480 Market Street
Suite 3
Saddle Brook, NJ 07663

Phone

(973) 685-7121

Fax

(877) 293-7436

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Roman Kosiborod, D.O.NPI 1831192079

Title

Owner-Physician

Phone

(201) 790-5541

Specialties & licenses 1

Addresses

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 1

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

• Roman N Kosiborod, D.O.

  • Specialist
  • Fair Lawn, NJ
  • NPI 1831192079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1942447792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MARKET STREET",
            "address_2": "SUITE 3",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-790-5541",
            "fax_number": "877-293-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MARKET STREET",
            "address_2": "SUITE 3",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "973-685-7121",
            "fax_number": "877-293-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN MEDICINE AND ANESTHESIA GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "KOSIBOROD",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "201-790-5541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB07566200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Cochario, PT, DPT
• Alexander R Cocoziello, D.O.
• William Steven Cohn, O.D.
• Committed Medical Services
• Comprehensive Orthopaedic & Spine Institute LLC
• Henry John Cooke, DC
• Todd J. Cooperman, M.D.
• Jake Creagh
• Kayla Noel Critser, PT, DPT
• D&C Dental Care

• Specialist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.