PAIN MANAGEMENT MEDICAL ASSOCIATES LLC (NPI# 1558675645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558675645 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT MEDICAL ASSOCIATES LLC |
| Practice Address |
1060 Clifton Ave Clifton NJ 07013-3638 |
| Mailing Address |
Po Box 1258 Clifton NJ 07012-0758 |
| Practice Telephone | 9737797361 |
| Practice Fax Number | 9737797385 |
| Mailing Telephone | 9737797361 |
| Mailing Fax Number | 9737797385 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | DR. RAVI K VENKATARAMAN (CEO) |
| Authorized Official Telephone | 9737797361 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA06850700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2065821 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 25MA06850700 | 01 |
| NY | STATE OF NY | 7787522 | 01 |
| NY | LICENSE | 2065821 | 01 |
| Street Address |
1060 CLIFTON AVE |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491369 | Robert A Schultz | Orthopaedic Surgery | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2006-03-20 |
| 1912551243 | Clifton Pain & Vein LLC | Physical Medicine & Rehabilitation | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2019-07-25 |
| 1497291512 | Premier Pain Management LLC | Pain Medicine | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2017-01-12 |
| 1346609138 | Mid-state Anesthesia Consultants LLC | Anesthesiology | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2016-02-22 |
| 1477912863 | Jessica A Kowalewski | Nurse Practitioner | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2016-02-15 |
| 1487073417 | Same Day Procedures, LLC | Clinic/Center | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2014-04-07 |
| 1376973206 | Ddd Neurology & Electrodiagnostics Pllc | Clinic/Center | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2013-11-13 |
| 1194036111 | Professional Pain Management Services Pa | Pain Medicine | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2010-06-24 |
| 1831339027 | North Jersey Spinal Manipulation Associates | Chiropractor | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2009-02-27 |
| 1891818530 | Anjali D Patel | Anesthesiology | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477943967 | All City Pain Management P.C. | Pain Medicine | 51 Silleck St, Suite C, Clifton, NJ 07013-1233 | 2015-02-04 |
| 1831443357 | Sumeet Arora | Pain Medicine | 50 Mount Prospect Ave Ste 209, Clifton, NJ 07013-1900 | 2012-11-06 |
| 1831446673 | Advanced Interventional Pain Consultants, LLC | Pain Medicine | 1081 Paulison Ave Ste 2b, Clifton, NJ 07011-3658 | 2012-08-11 |
| 1154324234 | Ross Louis Nochimson | Pain Medicine | 1187 Main Ave, Suite 3-d, Clifton, NJ 07011-2252 | 2005-05-23 |
| 1992264469 | Pain Doctors of America Pllc | Pain Medicine | 1117 Route 46 Ste 205, Clifton, NJ 07013-2450 | 2019-03-14 |
| 1497291512 | Premier Pain Management LLC | Pain Medicine | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2017-01-12 |
| 1942659123 | Strategic Pain Management LLC | Pain Medicine | 50 Mount Prospect Ave, Suite 209, Clifton, NJ 07013-1900 | 2016-06-08 |
| 1881053676 | Sood Medical Practice, LLC | Pain Medicine | 50 Mount Prospect Ave Ste 209, Clifton, NJ 07013-1900 | 2016-02-22 |
| 1235573007 | Pain Management and Rehab Center,llc | Pain Medicine | 1011 Clifton Ave, Ste 1g, Clifton, NJ 07013-3518 | 2013-04-24 |
| 1194036111 | Professional Pain Management Services Pa | Pain Medicine | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2010-06-24 |
| Find all providers in CLIFTON | ||||
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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.