PAIN MEDICINE AND ANESTHESIA PC (NPI# 1386925394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386925394 |
| Entity Type | Organization |
| Organization Name | PAIN MEDICINE AND ANESTHESIA PC |
| Practice Address |
387 Vance Ave Franklin Lakes NJ 07417-3016 |
| Practice Telephone | 2019452900 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | DR. ROMAN KOSIBOROD (PRESIDENT) |
| Authorized Official Telephone | 2019452900 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MB07566200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
387 VANCE AVE |
| City | FRANKLIN LAKES |
| State | NJ |
| Zip Code | 07417-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295204 | Rick Manista | Counselor | 349 Indian Trail Drive, Franklin Lakes, NJ 07417 | 2018-12-01 |
| 1538674189 | Rebecca Jill Eliason | Psychologist | 769 Susquehanna Avenue, Franklin Lakes, NJ 07417 | 2017-12-05 |
| 1316469786 | Katherine Rigby | Registered Nurse | 717 Oneida Trail, Franklin Lakes, NJ 07417 | 2017-07-07 |
| 1588089577 | Durdana G Gill | Dentist | 574 Franklin Ave., Franklin Lks, NJ 07417 | 2014-02-27 |
| 1669733549 | Douglas Caballero | Pharmacist | 727-ginger Lane, Franklin Lakes, NJ 07417 | 2012-06-06 |
| 1306028857 | Joshua A Weidman Md LLC | Obstetrics & Gynecology | 841 Franklin Avenue, Suite 5, Franklin Lakes, NJ 07417 | 2007-11-27 |
| 1265505739 | Franklin Dental Center Pa | Dentist | 574 Franklin Ave, Franklin Lakes, NJ 07417 | 2006-11-15 |
| 1659460152 | Alyssa K Lambrese | Physical Therapist | 795 Franklin Avenue, Franklin Lakes, NJ 07417 | 2006-10-12 |
| 1700802378 | Geoffrey A Dugue | Otolaryngology | Becton-dickinson, One Becton Drive Mc250, Franklin Lakes, NJ 07417 | 2006-07-15 |
| 1821040486 | David E Wertheimer | Internal Medicine | 801 Franklin Avenue, Suite 2, Seond Floor, Franklin Lakes, NJ 07417 | 2006-05-16 |
| Find all providers in zip 07417 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750802286 | Vip Anesthesia LLC | Anesthesiology | 719 Butternut Dr, Franklin Lakes, NJ 07417-2281 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN LAKES |
| Zip Code | 07417 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.