Active NPI
Park Avenue Pain Management
- Anesthesiology Physician
- South Plainfield, NJ
National Provider Identifier
1962642876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA030896
- Legal business name
- PARK AVENUE PAIN MANAGEMENT
- Practice address
- 2509 Park Ave
Suite 1a
South Plainfield, NJ 07080-5300 - Phone
- (908) 279-8462
- Fax
- (732) 605-1238
- NPI assigned
- Mar 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pramila Byahatti, MD
- Title
- Ditactor
- Phone
- (908) 279-8462
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA04131700 | NJ | |
| Anesthesiology Physician | 207L00000X | MA030896 | NJ | Primary |
Addresses
Primary practice location
2509 Park Ave
Suite 1a
South Plainfield, NJ 07080-5300
Mailing address
P.O.Box 959
South Plainfield, NJ 07080-5530
Phone (908) 279-8462
National Provider Directory
National Provider DirectoryLocations
76 Stirling Rd
Ste 104
Warren, NJ 07059
Phone (732) 317-8286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270598400000",
"number": "1962642876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 959",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805530",
"telephone_number": "908-279-8462",
"fax_number": "732-605-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 PARK AVE",
"address_2": "SUITE 1A",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805300",
"telephone_number": "908-279-8462",
"fax_number": "732-605-1238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK AVENUE PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-05",
"last_updated": "2010-04-07",
"status": "A",
"authorized_official_last_name": "BYAHATTI",
"authorized_official_first_name": "PRAMILA",
"authorized_official_title_or_position": "DITACTOR",
"authorized_official_telephone_number": "908-279-8462",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA04131700",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA030896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.