Complete Care Pain and Palliative Center PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA08212000 Issued in NJ

Legal business name

COMPLETE CARE PAIN AND PALLIATIVE CENTER PC

Practice address

901 W Main St
Freehold, NJ 07728-2537

Phone

(732) 333-8178

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Maged L Ghattas, MDNPI 1770574626

Title

Owner

Phone

(732) 333-8178

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Maged L. Ghattas, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Freehold, NJ
  • NPI 1770574626

  Hospice and Palliative Medicine

  Medicare reassignment NPD Authorized official
• Raisa Bakshiyev, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brick, NJ
  • NPI 1588009740
  Medicare reassignment NPD
• Andrew Donguk Nam, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Lee, NJ
  • NPI 1407291867
  Medicare reassignment NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1952710717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOWERS DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288647",
            "telephone_number": "732-333-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-333-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE PAIN AND PALLIATIVE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "MAGED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-333-8178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA08212000",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08212000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.