Active NPI
Englewood Pain Center, P.a.
- Pain Medicine (Anesthesiology) Physician
- Englewood, NJ
National Provider Identifier
1972552115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ENGLEWOOD PAIN CENTER, P.A.
- Practice address
- 350 Engle St
Englewood, NJ 07631-1808 - Phone
- (201) 871-0673
- Fax
- (201) 871-0619
- NPI assigned
- May 7, 2006
- 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
- Aryeh Shander, MD
- Title
- President
- Phone
- (201) 871-6073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1808
Mailing address
375 Engle St
Second Floor
Englewood, NJ 07631-1823
Phone (201) 871-6073
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE0144 | Other | NJ | RAILROAD MEDICARE |
| 8432601 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972552115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ENGLE ST",
"address_2": "SECOND FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311823",
"telephone_number": "201-871-6073",
"fax_number": "201-871-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "201-871-0673",
"fax_number": "201-871-0619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENGLEWOOD PAIN CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHANDER",
"authorized_official_first_name": "ARYEH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-871-6073",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE0144",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8432601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
- Englewood Medical Associates Inc
- Englewood Medical Associates, Inc
- Englewood OB GYN Associates, PC
- Englewood OBGYN Womens Group, P.a.
- Englewood Orthopedics Group PC
- Englewood Pain Group PC
- Englewood Pathologists, PA
- Englewood Physician'S Group LLC
- Englewood Psychotherapy and Wellness, LLC
- Englewood Radiation Oncology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.