Organization Active NPI

Park Avenue Pain Management

  • Anesthesiology Physician
  • South Plainfield, NJ
National Provider Identifier
1962642876
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA030896 Issued in NJ
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

Updated by the provider on Apr 7, 2010

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 25MA04131700 NJ
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.