Champey Pain Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07722700 Issued in NJ

Legal business name

CHAMPEY PAIN GROUP

Practice address

1 Mount Prospect Ave FL 2
Verona, NJ 07044-2707

Phone

(201) 247-1747

NPI assigned

Jun 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Champey, MD

Title

President

Phone

(201) 247-1747

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Agresti, D.O.

  • Plastic Surgery Physician
  • Verona, NJ
  • NPI 1619155710
  NPD (past)
• Kenneth L Distefano Sr., MD

  • Plastic Surgery Physician
  • Verona, NJ
  • NPI 1346324852
  NPD (past)
• Kenneth Louis Distefano, MD

  • Family Medicine Physician
  • Verona, NJ
  • NPI 1619146677
  NPD (past)

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1992967103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOUNT PROSPECT AVE FL 2",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442707",
            "telephone_number": "201-247-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOUNT PROSPECT AVE FL 2",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442707",
            "telephone_number": "201-247-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPEY PAIN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "CHAMPEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-247-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07722700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Ann Carr-Dreher
• Frank Caruso, D.P.M.
• Center for Advanced Pain Management and Wellness, LLC
• Center for Recovery From Compulsive Behavior
• Linda Cesario, DPM
• Edward J Champey, M.D.
• Kristina Chan
• Jennie Chau, D.P.M.
• Marie Chen, MS PAC
• Qiang Chen, MD

• Specialist in Verona, NJ
• Providers in Verona, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.