Active NPI
Performance Pain and Sports Medicine of Raritan LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Raritan, NJ
National Provider Identifier
1992352801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
- Last updated
- Aug 25, 2019
- 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
- Dr. Suzanne M Manzi, MD
- Title
- Owner / Managing Member
- Phone
- (848) 448-7717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
903 US Highway 202 Ste 2a
Raritan, NJ 08869-1449
Mailing address
4126 Southwest Fwy Ste 1700
Houston, TX 77027-7317
Phone (346) 217-1111
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1003051731
NPI Registry JSON
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": []
}
Other providers in Raritan, NJ
- 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 (Raritan Employee Health Center)
- Psychiatric and Behavirol Health Solutions, LLC
Sources for this page
- 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.