PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC (NPI# 1992352801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992352801 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC |
| Practice Address |
903 Us Highway 202 Ste 2a Raritan NJ 08869-1449 |
| Mailing Address |
4126 Southwest Fwy Ste 1700 Houston TX 77027-7317 |
| Practice Telephone | 6095888600 |
| Practice Fax Number | 6095888602 |
| Mailing Telephone | 3462171111 |
| Mailing Fax Number | 3465712189 |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2019-08-25 |
| Authorized Official Name | DR. SUZANNE M MANZI (OWNER / MANAGING MEMBER) |
| Authorized Official Telephone | 8484487717 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
903 US HIGHWAY 202 STE 2A |
| City | RARITAN |
| State | NJ |
| Zip Code | 08869-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231971 | National Vision Inc | Optometrist | Somerville Circle Shopping Center 300 Route 202, Suite 4, Raritan, NJ 08869 | 2020-06-26 |
| 1063968717 | Erica Bogart | Specialist | 770 Us 206, Hillsborough, NJ 08869 | 2016-08-31 |
| 1174935811 | Robin Mukherjee | Internal Medicine | 901 U.S. 202, Raritan, NJ 08869 | 2014-05-29 |
| 1922262393 | The Institute for Family & Adolescent Svcs Inc | Social Worker | 60 First Ave, Suite 4, Raritan, NJ 08869 | 2008-07-15 |
| 1427250703 | Maulshree Singh | Family Medicine | 575 Route 28, Building 3, Suite 3201, Second Floor, Raritan, NJ 08869 | 2007-05-31 |
| 1447371794 | Siucok O. Ang | Pathology | 69 First Ave, Raritan, NJ 08869 | 2007-04-03 |
| 1477560670 | Joseph F Scalia | Family Medicine | 901 Us Hwy 202, Raritan, NJ 08869 | 2006-08-01 |
| 1659388858 | Lisa J Jordan-scalia | Family Medicine | 901 Us Highway 202, Raritan, NJ 08869 | 2006-08-01 |
| 1962473504 | Raritan Valley Orthodontics Pa | Dentist | 901 Rt 202 North, Raritan, NJ 08869 | 2006-01-31 |
| 1346781903 | Gabriel Harris Cornick | Dentist | 64 E Somerset St, Raritan, NJ 08869 | 2017-03-15 |
| Find all providers in zip 08869 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| 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.