Performance Pain and Sports Medicine of Raritan LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC

Practice address

903 US Highway 202 Ste 2a
Raritan, NJ 08869-1449

Phone

(609) 588-8600

Fax

(609) 588-8602

NPI assigned

Aug 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne M Manzi, MD

Title

Owner / Managing Member

Phone

(848) 448-7717

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566691200000",
    "number": "1992352801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277317",
            "telephone_number": "346-217-1111",
            "fax_number": "346-571-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 US HIGHWAY 202 STE 2A",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691449",
            "telephone_number": "609-588-8600",
            "fax_number": "609-588-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-25",
        "last_updated": "2019-08-25",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "848-448-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iza Arithea Nabong Pacunayen, RPH
• Joseph G Parlavecchio, M.D.
• Gita R Patel, M.D.
• Parul Niranjan Patel, MD
• Rajendrakumar Chimanlal Patel, MD
• Lisa Ann Perhacs, AU.D., CCC-A
• Michael Phillips, R.PH.
• Dawn Pieranunzi, DMD
• Premise Health of New Jersey Medical PC
• Psychiatric and Behavirol Health Solutions, LLC

• All providers in Raritan, NJ
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2019; 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.