RIVERSIDE PAIN MANAGEMENT LLC


Address: 1025 Maxwell Ln Apt 515, Hoboken, NJ 07030-6825
Phone: 9175098179

RIVERSIDE PAIN MANAGEMENT LLC (NPI# 1972978765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972978765
Entity Type Organization
Organization Name RIVERSIDE PAIN MANAGEMENT LLC
Practice Address 1025 Maxwell Ln Apt 515
Hoboken
NJ 07030-6825
Practice Telephone 9175098179
Mailing Telephone 9175098179
Enumeration Date 2015-12-06
Last Update Date 2015-12-06
Authorized Official Name DR. EN-CHIA JAMES LIU (OWNER)
Authorized Official Telephone 9175098179
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
25MA08583600 NJ Ambulatory Health Care Facilities

Office Location

Street Address 1025 MAXWELL LN APT 515
City HOBOKEN
State NJ
Zip Code 07030-6825

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1164995189 Luisa Fernanda Alzate Cobo Occupational Therapy Assistant 15 Church Towers, 5g, Hoboken, NJ 07030 2019-01-03
1588147821 Melissa Ann Ronga Social Worker Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 2018-09-12
1578040952 Kerry R Pitter Psychologist 221 River Street, 9th Floor, Hoboken, NJ 07030 2018-07-27
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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1407342728 Golden Holistic Treatment Center Clinic/Center 6809 Bergenline Ave, West New York, NJ 07093-1807 2018-07-10
1396235990 The Peace Within Spa & Clinic/Center 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 2018-05-18
1780174136 Edison Spine & Pain Center LLC Clinic/Center 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 2018-05-11
1598279218 Spine Institute of North America LLC Clinic/Center 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 2017-11-17
1245776582 Jennifer Arango Clinic/Center 139 77th St, North Bergen, NJ 07047-5836 2017-01-10
1457896003 Revive Spine and Pain Center Clinic/Center 515 South Broad St, Ste 201, Trenton, NJ 08611 2017-01-05
1043764269 Interventional Pain and Spine Institute Inc Clinic/Center 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 2016-08-04
1003279506 Advanced Spine and Pain Center LLC Clinic/Center 1060 Broad Street, Newark, NJ 07102 2016-04-01
1861863524 Bridgeview Pain Center LLC Clinic/Center 1566 Lemoine Ave, Fort Lee, NJ 07024-5635 2015-10-07
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Competitor

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City HOBOKEN
Zip Code 07030

Improve Information

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Dataset Information

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.

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