TRISTATE SPINE AND PAIN LLC (NPI# 1548675879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548675879 |
| Entity Type | Organization |
| Organization Name | TRISTATE SPINE AND PAIN LLC |
| Practice Address |
63 Lacey Rd Suite C Whiting NJ 08759-2966 |
| Practice Telephone | 7328499500 |
| Practice Fax Number | 7328499501 |
| Mailing Telephone | 7328499500 |
| Mailing Fax Number | 7328499501 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | DR. RAJAT SEKHAR (CO-FOUNDER) |
| Authorized Official Telephone | 7328499500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA09282300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08297000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
63 LACEY RD SUITE C |
| City | WHITING |
| State | NJ |
| Zip Code | 08759-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695757 | Karambir Singh Dalal | Internal Medicine | 63 Lacey Rd, Suitef, Whiting, NJ 08759-2966 | 2005-08-02 |
| 1508304742 | Tristate Anesthesiologists LLC | Anesthesiology | 63 Lacey Rd, Suite C, Whiting, NJ 08759-2966 | 2017-02-08 |
| 1598901217 | Rajat Sekhar | Anesthesiology | 63 Lacey Rd, Suite C, Whiting, NJ 08759-2966 | 2008-12-30 |
| 1093906687 | Gene L Payumo | Anesthesiology | 63 Lacey Rd, Ste C, Whiting, NJ 08759-2966 | 2007-08-07 |
| 1346288826 | Ocean Medical Group,p.a. | Internal Medicine | 63 Lacey Rd, Ste F, Whiting, NJ 08759-2966 | 2006-06-04 |
| 1902857832 | Judy Ann Jones | Nurse Practitioner | 63 Lacey Rd, Suite F, Whiting, NJ 08759-2966 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811471097 | Anthony's Exclusive Limousine | Private Vehicle | 20 Florence Drive, Renaissance Community, Manchsester, NJ 08759 | 2018-09-24 |
| 1619489077 | Audiology Services Company Usa, LLC | Clinic/Center | 70 Lacey Road Route 530, Irish Branch Plaza, Manchester Township, NJ 08759 | 2017-10-25 |
| 1053835371 | Renee Lynn Agro | Case Manager/Care Coordinator | 23 Arcadia Drive, Manchester Township, NJ 08759 | 2017-07-28 |
| 1891229563 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 713 Northhampton Boulevard, Manchester, NJ 08759 | 2017-04-19 |
| 1750829701 | The Open Door of New Jersey | Day Training, Developmentally Disabled Services | 2110 Route 70, Manchester, NJ 08759 | 2017-02-09 |
| 1205214277 | Monette Tresvalles Md LLC | Internal Medicine | 65 D Lacey Road, Whiting, NJ 08759 | 2015-05-11 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1104251438 | Meredith L Hardie | Physical Therapist | 63-h Lacey Road, Whiting, NJ 08759 | 2013-09-05 |
| 1982951380 | Crest Whiting Physical Therapy | Physical Medicine & Rehabilitation | 61 Lacey Road, Whiting, NJ 08759 | 2012-08-06 |
| 1366710592 | Barbara Celina Boudreau | Registered Nurse | 1228 Route 37 West, Holy Redeemer, Toms River, NJ 08759 | 2011-12-02 |
| Find all providers in zip 08759 | ||||
| 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 |
|---|---|---|---|---|
| 1184912826 | Samir Ranjit Jani | Anesthesiology | 1100 Route 70, Whiting, NJ 08759-1003 | 2011-07-15 |
| 1598901217 | Rajat Sekhar | Anesthesiology | 63 Lacey Rd, Suite C, Whiting, NJ 08759-2966 | 2008-12-30 |
| 1609046374 | Manjula Singh | Anesthesiology | 1100 Route 70, Whiting, NJ 08759-1003 | 2008-03-09 |
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| 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 | ||||
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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.