LIBERTY PAIN CARE LLC (NPI# 1801306956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801306956 |
Entity Type | Organization |
Organization Name | LIBERTY PAIN CARE LLC |
Practice Address |
1270 State Route 35 Middletown NJ 07748-2014 |
Practice Telephone | 7326656492 |
Practice Fax Number | 7328569901 |
Mailing Telephone | 7326656492 |
Mailing Fax Number | 7328569901 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-03 |
Authorized Official Name | DR. SHRUTI A SHAH (DOCTOR) |
Authorized Official Telephone | 7326656492 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
NJ | Allopathic & Osteopathic Physicians |
Street Address |
1270 STATE ROUTE 35 |
City | MIDDLETOWN |
State | NJ |
Zip Code | 07748-2014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184775777 | Jack Robert Dugo Jr. | Chiropractor | 1270 State Route 35, Middletown, NJ 07748-2014 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
Find all providers in zip 07748 |
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 |
---|---|---|---|---|
1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
1194100586 | Comprehensive Interventional Pain Management, P.c | Anesthesiology | Comprehensive Interventional Pain Management P.c, 400 Route 211 East Suite 12, Middletown, NY 10940-2123 | 2015-07-27 |
1376713321 | Jerome Bernstein | Anesthesiology | 226 E Main St, Middletown, NY 10940-4035 | 2008-03-06 |
1972706448 | Benjamin Leslie Krepps | Anesthesiology | 6 W Main St, Middletown, MD 21769 | 2007-06-11 |
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 | MIDDLETOWN |
Zip Code | 07748 |
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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.