Pain Management Institute Pa

LBN: Pain Management Institute Pa
Pain Management Institute Pa is an health care organization with primary practice located at 475 Prospect Ave , West Orange NJ 07052. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Pain Management Institute Pa can be contacted via phone (973) 325-6716, or through Tendler, Jay via phone (800) 738-1659.

Contact Information

Primary practice address
475 Prospect Ave West Orange NJ 07052
Phone: (973) 325-6716
Fax: (704) 871-2128
Website:
Map and Directions
Authorized official contact:
Name: Tendler, Jay Doctor of Medicine (MD)
Phone: (800) 738-1659

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1780989087
LBN Legal business name Pain Management Institute Pa
DBA Doing business as
Authorized official Tendler, Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2011
Last updated Jul 23rd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780989087 NPPES
New Jersey MEDICAID 0556505

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