Strategic Pain Management LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MB08416900 Issued in NJ

Legal business name

STRATEGIC PAIN MANAGEMENT LLC

Practice address

50 Mount Prospect Ave
Suite 209
Clifton, NJ 07013-1900

Phone

(973) 779-7361

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anjali Patel, DONPI 1891818530

Title

Sole MBR

Phone

(973) 779-7361

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Anjali D Patel, D.O.

  • Interventional Pain Medicine Physician
  • Clifton, NJ
  • NPI 1891818530
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1942659123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE",
            "address_2": "SUITE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-779-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE",
            "address_2": "SUITE 209",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-779-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "973-779-7361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB08416900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "25MB08416900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Stofko
• Devonne Dontah Stone, LPC, LCADC, ACS, CCS
• Helena Stone, RPH
• Emily Anna Stoppiello-Czupak, D.C.
• Marianna Strakhan, M.D.
• Elizabeth Stroedecke, PHARM.D.
• Kikki Su-Uy
• Andrea G Suarez-Pyndus, LSW
• Ari Jonathan Sugarman, DMD
• Maria Sulejmeni, PA-C

• Interventional Pain Medicine Physician in Clifton, NJ
• Providers in Clifton, 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 Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.