Organization Active NPI

The Center for Medical Healing on Madison

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kearny, NJ
National Provider Identifier
1972520633
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MB 72964 Issued in NJ
Legal business name
THE CENTER FOR MEDICAL HEALING ON MADISON
Practice address
206 Bergen Ave
Suite 203
Kearny, NJ 07032-3324
Phone
(888) 485-0001
Fax
(888) 485-0001
NPI assigned
Jul 17, 2006
Last updated
Aug 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Dr. Annette Da Silva, D.O.NPI 1326240284
Title
Head Physician
Phone
(888) 485-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 209768-1 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MB 72964 NJ Primary

Addresses

Primary practice location

206 Bergen Ave
Suite 203
Kearny, NJ 07032-3324

Mailing address

PO Box 726
New York, NY 10156-0726
Phone (888) 485-0001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1972520633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101560726",
            "telephone_number": "888-485-0001",
            "fax_number": "888-485-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE",
            "address_2": "SUITE 203",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323324",
            "telephone_number": "888-485-0001",
            "fax_number": "888-485-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR MEDICAL HEALING ON MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "HEAD PHYSICIAN",
        "authorized_official_telephone_number": "888-485-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "209768-1",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "MB 72964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.