1245593193 NPI number — PAIN MANAGEMENT AND WELLNESS OF PALISADES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245593193 NPI number — PAIN MANAGEMENT AND WELLNESS OF PALISADES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAIN MANAGEMENT AND WELLNESS OF PALISADES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245593193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9044
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARDONIA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10954-9044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-569-7246
Provider Business Mailing Address Fax Number:
201-894-9046

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
350 ENGLE ST
Provider Second Line Business Practice Location Address:
EHMC PAIN MANAGEMENT
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07631-1808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-894-3595
Provider Business Practice Location Address Fax Number:
201-894-9046
Provider Enumeration Date:
06/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
GUDIN
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
201-569-7246

Provider Taxonomy Codes

  • Taxonomy code: 2081P2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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