Mountainside Pain Management Pc

LBN: Mountainside Pain Management Pc
Mountainside Pain Management Pc is an health care organization with primary practice located at 185 Fairfield Ave Ste 2A , West Caldwell NJ 07006-6417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Mountainside Pain Management Pc can be contacted via phone (973) 226-1230, or through Secoy, John Walton via phone (973) 226-1230.

Contact Information

Primary practice address
185 Fairfield Ave Ste 2A West Caldwell NJ 07006-6417
Phone: (973) 226-1230
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Secoy, John Walton Doctor of Medicine (MD)
Phone: (973) 226-1230

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1477017929
LBN Legal business name Mountainside Pain Management Pc
DBA Doing business as
Authorized official Secoy, John Walton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2019
Last updated Apr 1st, 2019 - about 5 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 1477017929 NPPES
New Jersey Other 725433 PTAN

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