Organization Active NPI

Riverside Pain Management LLC

  • Pain Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1972978765
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
25MA08583600 Issued in NJ
Legal business name
RIVERSIDE PAIN MANAGEMENT LLC
Practice address
1025 Maxwell LN Apt 515
Hoboken, NJ 07030-6825
Phone
(917) 509-8179
NPI assigned
Dec 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Dr. En-Chia James Liu, M.D.
Title
Owner
Phone
(917) 509-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 25MA08583600 NJ Primary

Addresses

Primary practice location

1025 Maxwell LN Apt 515
Hoboken, NJ 07030-6825

Mailing address

1025 Maxwell LN Apt 515
Hoboken, NJ 07030-6825
Phone (917) 509-8179

National Provider Directory

National Provider Directory

Locations

550 Newark Ave
Fl 5
Jersey City, NJ 07306
Phone (201) 795-0205

NPI Registry JSON

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1972978765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAXWELL LN APT 515",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306825",
            "telephone_number": "917-509-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAXWELL LN APT 515",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306825",
            "telephone_number": "917-509-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "EN-CHIA JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-509-8179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA08583600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.