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INTERSTATE MULTI-SPECIALTY MEDICAL GROUP PC NPI 1619302288


NPI Information

NPI: 1619302288
Provider Name: INTERSTATE MULTI-SPECIALTY MEDICAL GROUP PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
165 MAIN ST
HACKENSACK, NJ
ZIP 07601
Phone: (973) 574-2070
Get Directions

INTERSTATE MULTI-SPECIALTY MEDICAL GROUP PC is an interventional pain medicine pain medicine in Hackensack, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. INTERSTATE MULTI-SPECIALTY MEDICAL GROUP PC NPI is 1619302288. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

165 MAIN ST
HACKENSACK, NJ
ZIP 07601-124
Phone: (973) 574-2070
Fax: (973) 574-2090

The provider's authorized official is Alexandr Zaitsev .
The authorized official title is President and has the following contact phone number (973) 574-2070.

The enumeration date for this NPI number is 9/13/2013 and was last updated on 12/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineNo
2207X00000XOrthopaedic SurgeryNo
32084N0400XPsychiatry & NeurologyNeurologyNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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